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

Mrs. Lisa Marie Johanson, PTA

Individual provider Physical Therapy Assistant · NPI 1598078560

Mrs. Lisa Marie Johanson, PTA is a Physical Therapy Assistant in Glen Cove, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
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

100 Glen Cove Ave
Glen Cove, NY 11542-2818
Phone: (516) 609-2000
Fax: (516) 609-2014
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 003389-1 (NY)

Record details

NPI number1598078560
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 20, 2010
Last updated in NPPESJuly 20, 2010

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