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

Jacqlene Jacob Johnson

Individual provider Physical Therapist · NPI 1801476296

Jacqlene Jacob Johnson is a Physical Therapist in Far Rockaway, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

224 Beach 20th St
Far Rockaway, NY 11691-3618
Phone: (347) 926-4037
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 046821 (NY)

Record details

NPI number1801476296
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 10, 2021
Last updated in NPPESApril 10, 2021
Certification dateApril 10, 2021

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