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

Mary Johnson, PTA

Individual provider Physical Therapist · NPI 1598974602

Mary Johnson, PTA is a Physical Therapist in Copiague, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

1160 Montauk Hwy
Copiague, NY 11726-4904
Phone: (631) 842-4606
Fax: (631) 842-0803
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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 005386 (NY)

Record details

NPI number1598974602
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1160 Montauk Hwy, Copiague, NY 11726-4904

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