IndividualActive
Jaquitsha Tyson-Johnson
NPI 1063239572 · Prosthetic/Orthotic Supplier · Palm City, FL
Jaquitsha Tyson-Johnson is a Prosthetic/Orthotic Supplier provider in Palm City, FL (NPI 1063239572).
Provider details
- NPI number
- 1063239572
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2047 Sw Danforth Cir
Palm City, FL 34990-7704
Phone: (772) 485-2242
Street-level locationGet directions
Mailing address
390 Ne 191st St # 8584
Miami, FL 33179-3899
Registry dates
- Enumerated
- 2024-09-25
- Last updated
- 2024-11-09
- Certified
- 2024-11-09
Frequently asked questions
- What is Jaquitsha Tyson-Johnson's NPI number?
- Jaquitsha Tyson-Johnson's National Provider Identifier (NPI) is 1063239572, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaquitsha Tyson-Johnson's specialty?
- Jaquitsha Tyson-Johnson is listed in the NPPES registry with a primary specialty of Prosthetic/Orthotic Supplier (Suppliers).
- Where is Jaquitsha Tyson-Johnson located?
- Jaquitsha Tyson-Johnson's practice location on file with NPPES is 2047 Sw Danforth Cir, Palm City, FL 34990-7704.
- What is Jaquitsha Tyson-Johnson's phone number?
- The practice phone number listed in the NPPES registry for Jaquitsha Tyson-Johnson is (772) 485-2242.
- Is Jaquitsha Tyson-Johnson's NPI active?
- Yes — Jaquitsha Tyson-Johnson's NPI (1063239572) is active in the NPPES registry as of the last update on 2024-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.