National Provider Identifier
Anastasia Marie Johnson, PTA
Anastasia Marie Johnson, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Jamestown, NY and a listed phone number of (716) 720-7182.
Profile Overview
- NPI
- 1285340976
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- January 25, 2023
- Last Updated
- January 30, 2023
Practice Location
- 75 Jones And Gifford Ave
- Jamestown, NY 14701-2828
Phone: (716) 720-7182
Mailing Address
- 215 Eddy St
- Warren, PA 16365-2038
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1285340976
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Anastasia
- Middle Name
- Marie
- Credential
- PTA
- Mailing Street Address
- 215 Eddy St
- Mailing City
- Warren
- Mailing State
- PA
- Mailing ZIP Code
- 16365-2038
- Mailing Country
- US
- Mailing Phone
- (716) 720-7182
- Practice Street Address
- 75 Jones And Gifford Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-2828
- Practice Country
- US
- Practice Phone
- (716) 720-7182
- Enumeration Date
- January 25, 2023
- Last Updated
- January 30, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 30, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)