IndividualActive
Matthew Johnson, PTA
NPI 1821429135 · Physical Therapy Assistant · Fairbury, NE
Provider details
- NPI number
- 1821429135
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 1257 (NE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2200 H St
Fairbury, NE 68352-1119
Phone: (402) 729-3351
Approximate (ZIP-level) locationGet directions
Mailing address
3106 Traders Pointe Rd
Council Bluffs, IA 51501-8547
Registry dates
- Enumerated
- 2013-12-12
- Last updated
- 2013-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.