GILISSA JOHNSON
NPI 1346706546
Physical Therapist in Lake Ridge, VA

Active since February 13, 2019
12825 MINNIEVILLE RD, LAKE RIDGE, VA 22192(703) 971-3701 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2023, Feb 11, 2021, Feb 13, 2019 (3 updates tracked since 2019).

About Gilissa Johnson NPPES

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

GILISSA JOHNSON (NPI 1346706546) is an individual physical therapist in Lake Ridge, Virginia, licensed in Virginia (2305213488) and active in the NPI registry since February 2019. She maintains a secondary practice location in Palm Harbor.

NPPES Registry Identity

NPI1346706546
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameGILISSA JOHNSON
Location Address12825 MINNIEVILLE RDLake Ridge, VA 22192-3601
Mailing Address20410 Century Blvd Ste 215Germantown, MD 20874-1187 · (240) 731-9641
Sole ProprietorNo
Enumeration DateFebruary 13, 2019
Last NPPES UpdateMarch 16, 20233 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
NPI 1346706546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in VA · 2305213488
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
12825 MINNIEVILLE RD, Lake Ridge, VA 22192

Secondary Practice Location 1

Location 135095 US 19 N Ste 101Palm Harbor, FL 34684-1968 · Phone (727) 475-5540

Other Identifiers 1

OtherPT34397FL · Pt License

Other Providers at the Same Location NPPES 10

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

Family Medicine
12825 MINNIEVILLE RD, STE 202
LAKE RIDGE, VA 22192
General Practice
12825 MINNIEVILLE RD
WOODBRIDGE, VA 22192
General Practice
12825 MINNIEVILLE RD, STE 203
WOODBRIDGE, VA 22192
Emergency Medical Technician, Basic
12825 MINNIEVILLE RD
LAKE RIDGE, VA 22192
Nurse Practitioner (Family)
12825 MINNIEVILLE RD, SUITE 202
LAKE RIDGE, VA 22192
Family Medicine
12825 MINNIEVILLE RD, STE 202
LAKE RIDGE, VA 22192
Orthopaedic Surgery (Sports Medicine)
12825 MINNIEVILLE RD, SUITE 203
WOODBRIDGE, VA 22192
Physical Therapist
12825 MINNIEVILLE RD, SUITE 201
LAKE RIDGE, VA 22192

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 Gilissa Johnson's NPI number?

The NPI number for Gilissa Johnson is 1346706546. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Where is Gilissa Johnson located?

Gilissa Johnson practices at 12825 Minnieville Rd, Lake Ridge, VA 22192. The listed phone number is (703) 971-3701.

What is Gilissa Johnson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Gilissa Johnson was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.