IndividualActive
Jade Johnson, PTA
NPI 1962058008 · Physical Therapy Assistant · Winter Haven, FL
Provider details
- NPI number
- 1962058008
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PTA29010 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
3050 Woodmont Ave
Winter Haven, FL 33884-3800
Phone: (727) 803-1102
Street-level locationGet directions
Mailing address
260 1st Ave S Ste 200
Saint Petersburg, FL 33701-4364
Registry dates
- Enumerated
- 2019-08-14
- Last updated
- 2019-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.