Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jade Johnson, PTA

Individual provider Physical Therapy Assistant · NPI 1962058008

Jade Johnson, PTA is a Physical Therapy Assistant in Winter Haven, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3050 Woodmont Ave
Winter Haven, FL 33884-3800
Phone: (727) 803-1102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA29010 (FL)

Record details

NPI number1962058008
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 14, 2019
Last updated in NPPESAugust 14, 2019

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