Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQLENE JACOB JOHNSON
Active Sole ProprietorJACQLENE JACOB JOHNSON is a Physical Therapy Assistant healthcare provider located in FAR ROCKAWAY, New York. NPI 1801476296 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FAR ROCKAWAY, NY
Registration Details
- NPI Number
- 1801476296
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2021 (5.3615820718465 yrs)
- Last Updated
- Apr 10, 2021
- License
-
046821 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
224 BEACH 20TH STFAR ROCKAWAY, NY, 116913618Browse NY providers · Browse ZIP 11691
- Phone
- 3479264037
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FAR ROCKAWAY, NY
| Name | Credential | NPI |
|---|---|---|
| LOUIS GREENSPAN | PT | 1598735425 |
| MR. BENJAMIN SHOLLAR | M.S., P.T. | 1578531604 |
| GOLDA IBALE | RPT | 1558310458 |
| RANELYN MANOTO | RPT | 1790734580 |
| MICHAEL LIEBERSTEIN | P.T | 1811944267 |
| ZACHARY TOMASZEWSKI | P.T | 1720035173 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.