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

Jeffrey Joseph Johnson, PTCSCS

Individual provider Contractor · NPI 1073676474

Jeffrey Joseph Johnson, PTCSCS is a Contractor in Bradenton, Florida. Practices as a sole proprietor. Licensed in Florida and Pennsylvania.

Licensed in
FL, PA
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

1812 59th St W
Bradenton, FL 34209-4630
Phone: (941) 794-3305
Fax: (941) 792-8881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 013473 (FL)
Contractor Taxonomy 171W00000X · Licence PT13473 (FL)
Physical Therapist Taxonomy 225100000X · Licence 013473 (PA)

Record details

NPI number1073676474
Entity typeIndividual (Type 1)
GenderMale
Credentials PTCSCS
Sole proprietorYes
NPI enumeratedDecember 18, 2006
Last updated in NPPESSeptember 10, 2008
Mailing address1812 59th St W, Bradenton, FL 34209-4630

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