KATHERINE I JOHNSON (PTA) – Physical Therapy Assistant, NPI 1033463393

KATHERINE I JOHNSON (PTA) is a healthcare provider. based in Fairview heights, Illinois. specializing in Physical Therapy Assistant. They hold the professional credentials PTA. They hold a License No. 160001794 (IL). The NPI Number for KATHERINE I JOHNSON (PTA) is 1033463393

Main info

Female
Name
KATHERINE I JOHNSON (PTA)
NPI
1033463393
Phone
(618) 394-9798
Address
320 N RUBY LN
Enumeration Date
7 November 2012
Last Update Date
7 November 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for KATHERINE I JOHNSON (PTA)

  • 320 N RUBY LN

    FAIRVIEW HEIGHTS, IL 62208

    Phone: (618) 394-9798

    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)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 62208)

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Frequently asked questions

What federal number belongs to KATHERINE I JOHNSON (PTA)?
The federal identifier for KATHERINE I JOHNSON (PTA) is NPI 1033463393.
Is KATHERINE I JOHNSON (PTA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KATHERINE I JOHNSON (PTA) list a primary specialty?
If you are matching referrals, note Physical Therapy Assistant for KATHERINE I JOHNSON (PTA). Clinical services aligned with this taxonomy classification.
Does KATHERINE I JOHNSON (PTA) practice in Illinois?
You will see Fairview Heights, Illinois on file for KATHERINE I JOHNSON (PTA) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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