THERESA B JOHNSON (PTA) – Physical Therapy Assistant, NPI 1417075821

Physical Therapy Assistant

THERESA B JOHNSON (PTA) is a healthcare provider. based in Petersburg, Virginia. specializing in Physical Therapy Assistant. They hold the professional credentials PTA. They hold a License No. 2306602738 (VA). The NPI Number for THERESA B JOHNSON (PTA) is 1417075821

Main info

Female

Sole Proprietor

Name

THERESA B JOHNSON (PTA)

NPI

1417075821

Phone

(804) 861-1324

Address

46 DIAMOND DR

Enumeration Date

26 March 2007

Last Update Date

1 July 2010

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for THERESA B JOHNSON (PTA)

46 DIAMOND DR
DINWIDIE HEALTH AND REHAB CTR
PETERSBURG, VA 238037495
Phone: (804) 861-1324
Type: Location
5203 KIMMERIDGE LOOP
MOSELEY, VA 231201593
Phone: (804) 739-3207
Type: Mailing

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 23803)

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Frequently asked questions

What number should I use to identify THERESA B JOHNSON (PTA) for billing?

Administrative and clinical systems typically use NPI 1417075821 for THERESA B JOHNSON (PTA).

Quick check: is THERESA B JOHNSON (PTA) active?

Public NPPES data shows THERESA B JOHNSON (PTA) with an active NPI status right now.

What does the directory say THERESA B JOHNSON (PTA) does?

Insurance directories may phrase it differently, but here THERESA B JOHNSON (PTA) maps to Physical Therapy Assistant. Clinical services aligned with this taxonomy classification.

What city is tied to THERESA B JOHNSON (PTA)?

The directory associates THERESA B JOHNSON (PTA) with Petersburg, Virginia. Check all listed addresses for suites or satellite offices.

Who maintains THERESA B JOHNSON (PTA)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.