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

Brandon Johnson, PTA

Individual provider Physical Therapy Assistant · NPI 1881139806

Brandon Johnson, PTA is a Physical Therapy Assistant in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2016.

Licensed in
ID
In the registry since
2016
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

527 Memorial Dr
Pocatello, ID 83201-4063
Phone: (208) 226-6964
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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 3982 (ID)

Record details

NPI number1881139806
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 29, 2016
Last updated in NPPESDecember 29, 2016
Mailing address527 Memorial Dr, Pocatello, ID 83201-4063

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