Jacob Johnson · Physical Therapy Assistant

2123 27th St, Kenosha, WI 53140-5011

Overview

Jacob Johnson is a Physical Therapy Assistant practicing in Oak Creek, Wisconsin. The National Provider Identifier (NPI) is #1164310926, which was assigned on June 27, 2025, and the registration record was last updated on June 27, 2025. The practitioner's main practice location is at 2700 W Honadel Blvd, Oak Creek, WI 53154-2650; the contact telephone number is 4144202919. The primary taxonomy of Jacob Johnson is Physical Therapy Assistant (225200000X). Jacob Johnson is licensed to practice in the state of Wisconsin (#3213-19).

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Provider Information

NPI 1164310926
Entity Type Individual
Provider Name JACOB JOHNSON
Gender Male
Practice Address 2700 W Honadel Blvd
Oak Creek
WI 53154-2650
Practice Telephone 4144202919
Mailing Address 2123 27th St
Kenosha
WI 53140-5011
Certification Date 2025-06-27
Enumeration Date 2025-06-27
Last Update Date 2025-06-27
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y225200000XPhysical Therapy Assistant3213-19WI

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Jacob Johnson 522 W Riverside Ave Ste N, Spokane, WA 99201-0581Mental Health Counselor2025-09-16
Jacob Johnson 405 Stageline Rd, Hudson, WI 54016-7848Emergency Medicine Physician2015-06-10
Jacob Johnson 315 S Naperville Rd, Wheaton, IL 60187-5423Marriage & Family Therapist2012-09-18
Jacob Johnson 17534 Old Jefferson Hwy Ste D1, Prairieville, LA 70769-3978Behavior Technician2025-02-20

Taxonomy Information

Primary Taxonomy

Code 225200000X
Taxonomy Physical Therapy Assistant
Classification Physical Therapy Assistant
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Kayla Mackenzie Jackson 600 Greenlawn Dr Apt 2201, Columbia, SC 29209-0506Physical Therapy Assistant2025-10-10
Zacarius Karam 6021 W Cheyenne Ave, Las Vegas, NV 89108-4205Physical Therapy Assistant2025-10-11
Lorna Eaton 210 W Walnut St, Canton, IL 61520-2444Physical Therapy Assistant2025-10-09
Christina Casey 3701 N Martin Luther King Jr Blvd, Tulsa, OK 74106-6450Physical Therapy Assistant2025-10-11
Ryan Mitchell 2100 25th St Ste K, Columbus, IN 47201-3203Physical Therapy Assistant2025-10-10
Jeremy Buttram 4405 E Ridgeview Ln, Byron, IL 61010-9391Physical Therapy Assistant2025-10-10
Maria Olivia Diaz 316 Conquest Ste 100, Edinburg, TX 78539-3012Physical Therapy Assistant2025-10-09
Kelli Stover 2100 W Teton Blvd, Green River, WY 82935-6040Physical Therapy Assistant2025-10-10
Premier Physical Therapy 203 Kentucky Ave, Kevil, KY 42053-8976Physical Therapy Assistant2025-10-10
Ashley Grout Hennessee 150 Mariner Health Way, Saint Augustine, FL 32086-3215Physical Therapy Assistant2025-10-10
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Location Information

Street Address 2123 27TH ST
City KENOSHA
State WI
Zip Code 53140-5011
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Emily Joppe 1020 35th St, Kenosha, WI 53140-1932Registered Dietitian2023-12-13
Catherine Ann Jiaying Li 1020 35th St, Kenosha, WI 53140-1932Physical Therapist2025-02-20
Nishthaben R Patel 1020 35th St, Kenosha, WI 53140-1932Physical Therapist2018-04-17
Daelah Edwards 2001 Alford Park Dr, Kenosha, WI 53140-1994Student in an Organized Health Care Education/Training Program2025-02-14
Tilly Burroughs 1010 35th St, Kenosha, WI 53140-1902Psychiatric/Mental Health Nurse Practitioner2022-08-01
Briana Dawn Reese 2001 Alford Park Dr, Kenosha, WI 53140-1927Student in an Organized Health Care Education/Training Program2025-02-14
Kathryn Cramer 2001 Alford Park Dr, Kenosha, WI 53140-1927Student in an Organized Health Care Education/Training Program2025-02-14
Alyssa Skalitzky 1010 35th St, Kenosha, WI 53140-1902Nurse Practitioner2009-03-20
Family Psychiatric Care, LLC 1010 35th St, Kenosha, WI 53140-1902Psychiatric/Mental Health Nurse Practitioner2017-07-27
Dina Lee Flannery I 3233 25th Ave, Kenosha, WI 53140-2113In Home Supportive Care Agency2025-07-29
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.