NICOLE R JOHNSON (PTA) – Physical Therapy Assistant, NPI 1063399590

NICOLE R JOHNSON (PTA) is a healthcare provider. based in Dallas, Georgia. specializing in Physical Therapy Assistant. They hold the professional credentials PTA. They hold a License No. PTA005142 (GA). The NPI Number for NICOLE R JOHNSON (PTA) is 1063399590

Main info

Female
Name
NICOLE R JOHNSON (PTA)
NPI
1063399590
Phone
(470) 648-2038
Address
55 E PAULDING DR
Enumeration Date
18 August 2025
Last Update Date
18 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for NICOLE R JOHNSON (PTA)

  • 55 E PAULDING DR

    DALLAS, GA 301577191

    Phone: (470) 648-2038

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30157)

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Reviews

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Frequently asked questions

Can I use this page to confirm NICOLE R JOHNSON (PTA)'s NPI?
Yes. NICOLE R JOHNSON (PTA) is listed with NPI 1063399590 in the public NPI dataset.
Can I rely on NICOLE R JOHNSON (PTA) being an active provider?
As of the registry snapshot, NICOLE R JOHNSON (PTA) is marked active.
What is NICOLE R JOHNSON (PTA)'s primary classification?
Physical Therapy Assistant is the headline specialty for NICOLE R JOHNSON (PTA) here. Clinical services aligned with this taxonomy classification.
What address line appears for NICOLE R JOHNSON (PTA)?
NICOLE R JOHNSON (PTA)'s geographic hint is Dallas, Georgia in our summary view.
Why does NICOLE R JOHNSON (PTA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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