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

Bergan Jayde Johnsen, PTA

Individual provider Physical Therapy Assistant · NPI 1740950146

Bergan Jayde Johnsen, PTA is a Physical Therapy Assistant in Council Bluffs, Iowa. Licensed in Iowa. Registered with an NPI since 2021.

Licensed in
IA
In the registry since
2021
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

3000 Risen Son Blvd
Council Bluffs, IA 51503-1911
Phone: (712) 366-9655
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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 110375 (IA)

Record details

NPI number1740950146
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 16, 2021
Last updated in NPPESSeptember 16, 2021
Certification dateSeptember 16, 2021
Mailing address2396 Sharon Ave, Logan, IA 51546-5028

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