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

Tiy Johnson, PA-C

Individual provider Physical Therapy Assistant · NPI 1598146177

Tiy Johnson, PA-C is a Physical Therapy Assistant in Lillington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

40 Autumn Fern Trl
Lillington, NC 27546-5155
Phone: (910) 364-0971
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-14083 (NC)
Physical Therapy Assistant Taxonomy 225200000X · Licence 5119 (NC)

Record details

NPI number1598146177
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 9, 2015
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address5600 Ne Holiday Dr, Lees Summit, MO 64064-2495

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