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

Lori Johansen, PTA

Individual provider Physical Therapy Assistant · NPI 1245789551

Lori Johansen, PTA is a Physical Therapy Assistant in De Pere, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

200 S 9th St
De Pere, WI 54115-1393
Phone: (920) 336-5680
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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 2417-19 (WI)

Record details

NPI number1245789551
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 27, 2016
Last updated in NPPESSeptember 27, 2016
Mailing address1931 University Ave, Green Bay, WI 54302-3623

Other providers in De Pere