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

Individual provider Contractor · NPI 1073676474

Jeffrey Joseph Johnson, PTCSCS is a Contractor in Bradenton, Florida. Practices as a sole proprietor. Licensed in Florida and Pennsylvania.

Licensed in
FL, PA
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

1812 59th St W
Bradenton, FL 34209-4630
Phone: (941) 794-3305
Fax: (941) 792-8881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 013473 (FL)
Contractor Taxonomy 171W00000X · Licence PT13473 (FL)
Physical Therapist Taxonomy 225100000X · Licence 013473 (PA)

Record details

NPI number1073676474
Entity typeIndividual (Type 1)
GenderMale
Credentials PTCSCS
Sole proprietorYes
NPI enumeratedDecember 18, 2006
Last updated in NPPESSeptember 10, 2008

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