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

Breanna Johnson

Individual provider Physical Therapy Assistant · NPI 1134748916

Breanna Johnson is a Physical Therapy Assistant in Lake Geneva, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
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Practice location Address checks out

700 Geneva Pkwy N
Lake Geneva, WI 53147-4594
Phone: (262) 249-3500
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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 2668-19 (WI)

Record details

NPI number1134748916
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2020
Last updated in NPPESApril 13, 2020
Certification dateApril 13, 2020
Mailing addressW3670 Wildwood Dr, Lake Geneva, WI 53147-3567

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