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Deactivated NPI 1710147640 Deactivated / Inactive NPI Female Practitioner

Jacqueline Johnson , PTA

Physical Therapy Assistant • Cheyenne, WY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jacqueline Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 13, 2008
NPI Deactivation Date February 14, 2024
Total Practice Duration ~16 Years of Practice (2008 – 2024)

Professional Overview & Biography Verified Profile Summary

Jacqueline Johnson, PTA was a registered Physical Therapy Assistant practicing in Cheyenne, WY. Throughout an active medical career spanning 16 years, Jacqueline Johnson provided care at the practice location at 1314 W 18TH ST LOT 25 until profile deactivation on 2024-02-14.

Practice Location & Contact Primary Location

Practice Address

1314 W 18th St Lot 25

Cheyenne, WY 820013352

Telephone 3074213277

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Cheyenne, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
30 Specialists

Practicing in Cheyenne, WY (104 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

Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

State License WY 042

(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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 14, 2024

Record deactivated on February 14, 2024

NPI Profile Active June 13, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 13, 2008

Registered at 1314 W 18TH ST LOT 25, CHEYENNE, WY 820013352 (Tel: 3074213277)

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Updated Business Mailing Address June 13, 2008

Registered at 1314 W 18TH ST LOT 25, CHEYENNE, WY 820013352 (Tel: 3074213277)

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Provider Name / Credentials Updated June 13, 2008

Recorded as JACQUELINE JOHNSON, PTA

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2008

Physical Therapy Assistant (License #042 in WY)

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Initial NPI Registration & Enumeration June 13, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710147640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2008
Last Update: June 13, 2008
Deactivation Date: February 14, 2024

Mailing Address

1314 W 18th St Lot 25

Cheyenne, WY 820013352

Phone: 3074213277

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.