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

Shannon Elizabeth Johnson, PTA

Individual provider Physical Therapy Assistant · NPI 1255858890

Shannon Elizabeth Johnson, PTA is a Physical Therapy Assistant in Mequon, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2017
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

12600 N Port Washington Rd
Mequon, WI 53092-3469
Phone: (262) 387-8800
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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 2622-19 (WI)

Record details

NPI number1255858890
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 24, 2017
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021

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