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Search › Wisconsin › Physical Therapy Assistant

Jacob Johnson

NPI 1164310926 · on the registry since 2025 · sole proprietor

Practice

Address
2700 W Honadel Blvd
Oak Creek, WI 53154
Phone
(414) 420-2919
Organisation at this address
Imr Oak Creek Opco, Llc
Oak Creek Health And Rehabilitation Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin