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

Shannon R Johnson

Individual provider Physical Therapy Assistant · NPI 1437787579

Shannon R Johnson is a Physical Therapy Assistant in Streator, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
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Practice location Address checks out

2030 N 15th Rd
Streator, IL 61364-9754
Phone: (815) 674-0513
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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 160003038 (IL)

Record details

NPI number1437787579
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESApril 1, 2020
Certification dateApril 1, 2020
Mailing address2030 N 15th Rd, Streator, IL 61364-9754

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