NPI
Shirley Jean Johnson
NPI 1750376661
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- PTA
- Type
- Individual
- Enumeration date
- 2005-09-16
- Last updated
- 2026-07-13
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Specialties
Licenses
- License IN
- 06003063A
Location
- Practice location
- 2499 W Cota Dr
- City
- Bloomington IN
- Postal code
- 47403-4217
- Phone
- (812) 337-0210
- Fax
- (812) 337-0211
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Physical Therapy Assistants in Bloomington, IN. 22 with this primary taxonomy in the public file.
Other NPIs in Bloomington, IN. 4,012 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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