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

Theresa B Johnson, PTA

Individual provider Physical Therapy Assistant · NPI 1417075821

Theresa B Johnson, PTA is a Physical Therapy Assistant in Petersburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2007
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

46 Diamond Dr Dinwidie Health And Rehab Ctr
Petersburg, VA 23803-7495
Phone: (804) 861-1324
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306602738 (VA)

Record details

NPI number1417075821
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 26, 2007
Last updated in NPPESJuly 1, 2010
Mailing address5203 Kimmeridge Loop, Moseley, VA 23120-1593

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