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

Nicole R Johnson, PTA

Individual provider Physical Therapy Assistant · NPI 1063399590

Nicole R Johnson, PTA is a Physical Therapy Assistant in Dallas, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025
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

55 E Paulding Dr
Dallas, GA 30157-7191
Phone: (470) 648-2038
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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 PTA005142 (GA)

Record details

NPI number1063399590
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

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