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

Individual provider Physical Therapy Assistant · NPI 1417075821

Theresa B Johnson, PTA is a Physical Therapy Assistant in Petersburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2007
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

46 Diamond Dr Dinwidie Health And Rehab Ctr
Petersburg, VA 23803-7495
Phone: (804) 861-1324
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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 2306602738 (VA)

Record details

NPI number1417075821
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 26, 2007
Last updated in NPPESJuly 1, 2010

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