Evelyn - Johnson in Wauwatosa - Physical Therapy Assistant
Evelyn - Johnson - NPI 1316168115
Evelyn - Johnson is a Physical Therapy Assistant in Wauwatosa, Wisconsin. Evelyn - Johnson practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Evelyn - Johnson is 1316168115. The last update date is 2007-07-08.
Evelyn - Johnson's current location address is 2203 N 106th St, Wauwatosa, Wisconsin. You can contact this provider via phone number 4144569711. The mailing address for Evelyn - Johnson is 2203 N 106th St, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evelyn - Johnson |
|---|---|
| Address | 2203 N 106th St, Wauwatosa, Wisconsin |
| Phone Number | 4144569711 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1316168115 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2203 N 106th St |
|---|---|
| City | Wauwatosa |
| State | Wisconsin (WI) |
| Post Code | 532262318 |
| Phone Number | 4144569711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 50019 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50019 | WI | LICENSE | |
| 40186700 | WI | -- | |
| 22 | WI | PHYSICAL THERAPIST ASST. |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Evelyn - Johnson by the Centers for Medicare & Medicaid Services?
The Evelyn - Johnson has been issued the NPI (National Provider Identifier) 1316168115 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Evelyn - Johnson's facilities are situated?
The facilities of Evelyn - Johnson are physically located at the following address: 2203 N 106Th St, Wauwatosa, WI, 532262318.
What is Evelyn - Johnson's area of expertise and its corresponding taxonomy classification?
The Evelyn - Johnson's field of specialization is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1316168115 to Evelyn - Johnson?
The Evelyn - Johnson received its 1316168115 assignment from the Centers for Medicare & Medicaid Services on 2007-05-01.
As of what date were the details related to Evelyn - Johnson most recently updated or revised?
The information pertaining to Evelyn - Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.