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

Jayme Renee Johnson, PTA

Individual provider Physical Therapy Assistant · NPI 1407526866

Jayme Renee Johnson, PTA is a Physical Therapy Assistant in Roseville, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
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

145 S Chamberlain St
Roseville, IL 61473-9581
Phone: (309) 426-2134
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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 160008612 (IL)

Record details

NPI number1407526866
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 16, 2021
Last updated in NPPESSeptember 20, 2021
Certification dateSeptember 20, 2021
Mailing address225 N Union St, Good Hope, IL 61438-9172

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