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

Ebony L Johnson, PT

Individual provider Physical Therapist · NPI 1336798511

Ebony L Johnson, PT is a Physical Therapist in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2019.

Licensed in
MO
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1115 Fairgrounds Rd
Jefferson City, MO 65109-5443
Phone: (573) 634-3070
Fax: (573) 636-3247
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2019020760 (MO)

Record details

NPI number1336798511
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 10, 2019
Last updated in NPPESSeptember 10, 2019
Mailing address1115 Fairgrounds Rd, Jefferson City, MO 65109-5443

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