JACOB JOHNSON
NPI 1164310926
Physical Therapy Assistant in Oak Creek, WI

Active since June 27, 2025
2700 W HONADEL BLVD, OAK CREEK, WI 53154(414) 420-2919 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB JOHNSON (NPI 1164310926) is an individual physical therapy assistant in Oak Creek, Wisconsin, licensed in Wisconsin (3213-19) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1164310926
Entity TypeIndividualMale
Primary Taxonomy225200000X
Provider Legal NameJACOB JOHNSON
Location Address2700 W HONADEL BLVDOak Creek, WI 53154-2650
Mailing Address2123 27th StKenosha, WI 53140-5011
Sole ProprietorYes
Enumeration DateJune 27, 2025
NPPES CertifiedJune 27, 2025
NPI 1164310926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License Licensed in WI · 3213-19
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.
2700 W HONADEL BLVD, Oak Creek, WI 53154

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
2700 W HONADEL BLVD
OAK CREEK, WI 53154
Skilled Nursing Facility
2700 W HONADEL BLVD
OAK CREEK, WI 53154
Nurse Practitioner
2700 W HONADEL BLVD
OAK CREEK, WI 53154
Occupational Therapist
2700 W HONADEL BLVD
OAK CREEK, WI 53154
Physical Therapist
2700 W HONADEL BLVD
OAK CREEK, WI 53154
Nurse Practitioner
2700 W HONADEL BLVD
OAK CREEK, WI 53154
Nurse Practitioner
2700 W HONADEL BLVD
OAK CREEK, WI 53154
Speech-Language Pathologist
2700 W HONADEL BLVD
OAK CREEK, WI 53154

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Johnson's NPI number?

The NPI number for Jacob Johnson is 1164310926. It was assigned to this individual provider in the NPPES registry on June 27, 2025.

Where is Jacob Johnson located?

Jacob Johnson practices at 2700 W Honadel Blvd, Oak Creek, WI 53154. The listed phone number is (414) 420-2919.

What is Jacob Johnson's specialty?

The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.

When was this NPI record last updated?

The NPPES record for Jacob Johnson was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.