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

Mrs. Johnnie L Puccio, PTA, LMT

Individual provider Physical Therapy Assistant · NPI 1083906366

Mrs. Johnnie L Puccio, PTA, LMT is a Physical Therapy Assistant in W Melbourne, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2129 W New Haven Ave
W Melbourne, FL 32904-3875
Phone: (321) 723-8299
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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 PTA19316 (FL)

Record details

NPI number1083906366
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA , LMT
Sole proprietorYes
NPI enumeratedMay 5, 2011
Last updated in NPPESMay 5, 2011

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