Jacqlene J Johnson
Physical Therapist in Far Rockaway, New York
1801476296- Practice location
- 224 Beach 20TH St, Far Rockaway, NY 11691-3618
- Phone
- 347-926-4037
- Fax
- —
- Last updated
- April 10, 2021
Jacqlene Jacob Johnson is a Physical Therapist based in Far Rockaway, NY. Jacqlene Jacob Johnson practices in Far Rockaway, NY. The NPI Number for Jacqlene Jacob Johnson is 1801476296 and holds a License No. 046821 (NY). The current practice location address for Jacqlene Jacob Johnson is 224 Beach 20TH St, Far Rockaway, NY 11691-3618 and can be reached out via phone at 347-926-4037.
Provider Profile Details
- NPI Number
- 1801476296
- Provider Name
- Jacqlene Jacob Johnson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 224 Beach 20TH St, Far Rockaway, NY 11691-3618
- Phone Number
- 347-926-4037
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 10, 2021
- Last Update Date
- April 10, 2021
- Certification Date
- April 10, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 224 Beach 20TH St
Far Rockaway, NY 11691-3618 - City
- Far Rockaway
- State
- New York
- Zip
- 11691-3618
- Phone Number
- 347-926-4037
Provider Business Mailing Address Details
- Address
- 346 Sip Ave
Jersey City, NJ 07306-6569 - City
- Jersey City
- State
- NJ
- Zip
- 07306-6569
- Phone Number
- 443-447-3230
License Information
- License Number
- 046821
- License State
- NY
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Far Rockaway, NY
View all Physical Therapists in Far Rockaway →Frequently Asked Questions
What is the NPI number of Jacqlene J Johnson?
The NPI number of Jacqlene J Johnson is 1801476296. It was assigned on April 10, 2021 and is currently active in the NPPES registry.
What is the specialty of Jacqlene J Johnson?
Jacqlene J Johnson is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 046821.
Where does Jacqlene J Johnson practice?
The practice location is 224 Beach 20TH St, Far Rockaway, NY 11691-3618. The office can be reached at 347-926-4037 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801476296 directly on the NPPES registry website.