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

Katherine Johnson I, PTA

Individual provider Physical Therapy Assistant · NPI 1033463393

Katherine Johnson I, PTA is a Physical Therapy Assistant in Fairview Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
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

320 N Ruby Ln
Fairview Heights, IL 62208
Phone: (618) 394-9798
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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 160001794 (IL)

Record details

NPI number1033463393
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 7, 2012
Last updated in NPPESNovember 7, 2012

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