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

Tegan Johnson, PTA

Individual provider Physical Therapy Assistant · NPI 1114741865

Tegan Johnson, PTA is a Physical Therapy Assistant in Wilsonville, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2024
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

9126 SW Ridder Rd
Wilsonville, OR 97070-6766
Phone: (503) 840-4209
Fax: (503) 715-4438
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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 8710 (OR)

Record details

NPI number1114741865
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 11, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 10, 2024
Mailing address9126 Sw Ridder Rd, Wilsonville, OR 97070-6766

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