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

Thia Miranda Johnson, PTA

Individual provider Physical Therapy Assistant · NPI 1568910347

Thia Miranda Johnson, PTA is a Physical Therapy Assistant in Peshtigo, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
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

701 Willow St
Peshtigo, WI 54157-1165
Phone: (715) 582-3962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2514 (WI)

Record details

NPI number1568910347
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 21, 2016
Last updated in NPPESSeptember 21, 2016
Mailing address701 Willow St, Peshtigo, WI 54157-1165

Other providers in Peshtigo