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

Miss. Thera Elesisus Johnson, CTRS

Individual provider Recreation Therapist · NPI 1972906055

Miss. Thera Elesisus Johnson, CTRS is a Recreation Therapist in Miami Gardens, Florida. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

2031 NW 184th St
Miami Gardens, FL 33056-2753
Phone: (305) 502-8923
Fax: (305) 624-6804
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X

Record details

NPI number1972906055
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorYes
NPI enumeratedOctober 2, 2014
Last updated in NPPESOctober 2, 2014

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