Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740474675 Individual Practitioner Female Practitioner

Jennifer Johnson

Physical Therapy Assistant • Lake Ridge, VA

Professional Overview & Biography Verified Profile Summary

Jennifer Johnson is a registered healthcare professional specializing in Physical Therapy Assistant in Lake Ridge, VA. Practice services are available at 12825 MINNIEVILLE RD STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12825 Minnieville Rd Ste 201

Lake Ridge, VA 221923602

Telephone 5714708776

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Lake Ridge, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Lake Ridge, VA (1799 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2026-07-29
Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

(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.

Secondary Practice Locations

3025 Hamaker Ct Ste 103

Fairfax, VA 220312221

Phone: 7035605548

Practice Associates & Co-Workers

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

5 Associated Practitioners
Jonathan Phuong

Physical Therapy Assistant

NPI 1073383600
Kristine Guerrero

Student in an Organized Health Care Education/Training Program

NPI 1134066673
Kristina Murphy , PT, MPT

Physical Therapist

NPI 1417181512

Physical Therapist, Master of Physical Therapy

Kayla Sharma

Occupational Therapist

NPI 1730596966
Makeda Fikre-Selassie

Physical Therapist

NPI 1952099202

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address July 29, 2026

Registered at 12825 MINNIEVILLE RD STE 201, LAKE RIDGE, VA 221923602 (Tel: 5714708776)

📍
Updated Practice Location February 16, 2026

Registered at 12825 MINNIEVILLE RD STE 201, LAKE RIDGE, VA 221923602 (Tel: 5714708776)

📍
Updated Business Mailing Address February 16, 2026

Registered at 12939 TAXI DR, WOODBRIDGE, VA 221936130 (Tel: 7038518697)

NPI Profile Active September 04, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2007

Registered at 3025 HAMAKER CT STE 103, FAIRFAX, VA 220312221 (Tel: 7035605548)

📍
Updated Business Mailing Address September 04, 2007

Registered at 3025 HAMAKER CT STE 103, FAIRFAX, VA 220312221 (Tel: 7035605548)

👤
Provider Name / Credentials Updated September 04, 2007

Recorded as JENNIFER JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2007

Physical Therapy Assistant

🟢
Initial NPI Registration & Enumeration September 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1740474675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2007
Last Update: July 29, 2026
Sole Proprietor: No

Mailing Address

12825 Minnieville Rd Ste 201

Lake Ridge, VA 221923602

Phone: 5714708776

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.