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

Traci Johnson, PTA

Individual provider Physical Therapy Assistant · NPI 1750610762

Traci Johnson, PTA is a Physical Therapy Assistant in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
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

2000 Principal Ln
Fort Walton Beach, FL 32547-6636
Phone: (850) 362-6495
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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 PTA21935 (FL)

Record details

NPI number1750610762
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 22, 2009
Last updated in NPPESDecember 22, 2009
Mailing address2000 Principal Ln, Fort Walton Beach, FL 32547-6636

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