Mr. Wayne Michael Johnson, PTA, CCI
Mr. Wayne Michael Johnson, PTA, CCI is a Physical Therapy Assistant in Fort Drum, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
11050 Mt Belvedere Blvd USA Meddac /credentialsFort Drum, NY 13602-5004
Phone: (315) 772-4025
Fax: (315) 772-9498
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 004281 (NY) |
|---|
Record details
| NPI number | 1720096241 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PTA , CCI |
| Sole proprietor | No |
| NPI enumerated | August 3, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 11050 Mt Belvedere Blvd, Usa Meddac / Credentials, Fort Drum, NY 13602-5004 |
Other providers in Fort Drum
-
MS. Kayla Christine Bentz
11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 · (315) 772-1628
-
Breanna Burns, PTA
11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 · (315) 772-1628
-
Erin L Favret, PTA
11050 Mt Belvedere Blvd USA Meddac/credentials, Fort Drum, NY 13602-5004 · (315) 772-4025