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

Jared Johnston

Individual provider Physical Therapist · NPI 1104434604

Jared Johnston is a Physical Therapist in West Frankfort, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020

Practice location Address checks out

502 W Saint Louis St
West Frankfort, IL 62896-1968
Phone: (618) 932-8902
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.024174 (IL)

Record details

NPI number1104434604
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 21, 2020
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020
Mailing address502 W Saint Louis St, West Frankfort, IL 62896-1968

Other providers in West Frankfort