Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821214446 Individual Practitioner Female Practitioner

Traci Johnson , PT

Specialist • Glendale, AZ

Professional Overview & Biography Verified Profile Summary

Traci Johnson, PT is a registered healthcare professional specializing in Specialist in Glendale, AZ. Practice services are available at 4650 W. SWEETWATER AVE. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4650 W. Sweetwater Ave.

Glendale, AZ 853041505

Telephone 6023472600
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Glendale, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 35.9 Yrs
Regional Practice Density
34 Specialists

Practicing in Glendale, AZ (826 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AZ 2581

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Francine Davids , MS, CCC-SLP

Local Education Agency (LEA)

NPI 1013039312

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Katherine Kennedy

Local Education Agency (LEA)

NPI 1013137900
Sharon Fleetwood , RN

Local Education Agency (LEA)

NPI 1033231162

Registered Nurse

Linda Failla , MS

Psychologist - School

NPI 1043493257

Master of Science

Symone Banks , CCC-SLP

Speech-Language Pathologist

NPI 1053086470

Speech-Language Pathologist (Certificate of Clinical Competence)

Cynthia Rodriguez

Local Education Agency (LEA)

NPI 1053531947

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4650 W. SWEETWATER AVE., GLENDALE, AZ 853041505 (Tel: 6023472600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4650 W. SWEETWATER AVE., GLENDALE, AZ 853041505 (Tel: 6023472600)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TRACI JOHNSON, P.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #2581 in AZ)

🟢
Initial NPI Registration & Enumeration April 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1821214446
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

4650 W. Sweetwater Ave.

Glendale, AZ 853041505

Phone: 6023472600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.