IndividualActive
Holly Johnson, PT
NPI 1780896050 · Pediatric Physical Therapist · Rockford, IL
Provider details
- NPI number
- 1780896050
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 070002098 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3616 N Main St
Rockford, IL 61103-2159
Phone: (815) 877-5932
Fax: (815) 877-6302
Approximate (ZIP-level) locationGet directions
Mailing address
3496 E Whitaker Rd
Byron, IL 61010-9215
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2008-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.