Wayne Johnson, PTA, CCI
NPI 1720096241 · Physical Therapy Assistant · Fort Drum, NY
Wayne Johnson, PTA, CCI is a Physical Therapy Assistant provider in Fort Drum, NY (NPI 1720096241).
Provider details
- NPI number
- 1720096241
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA, CCI
- Sex
- Male
- Sole proprietor
- No
- License
- 004281 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2007-07-08
Frequently asked questions
- What is Wayne Johnson's NPI number?
- Wayne Johnson's National Provider Identifier (NPI) is 1720096241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wayne Johnson's specialty?
- Wayne Johnson is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Wayne Johnson located?
- Wayne Johnson's practice location on file with NPPES is 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-5004.
- What is Wayne Johnson's phone number?
- The practice phone number listed in the NPPES registry for Wayne Johnson is (315) 772-4025.
- Is Wayne Johnson's NPI active?
- Yes — Wayne Johnson's NPI (1720096241) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.