NPI age
19 years
Enumerated 2006-12-13
● Active
Type 1 · Individual
Carol Johnson, PT
Johnson is 1 of 23 physical therapist providers in Marietta and 1 of 278 in Georgia.
Primary specialty
Physical Therapist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-05-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 278 active physical therapist providers in Georgia.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
115 Birch Hollow Trl Nw
Marietta, GA 300645421
Mailing address
115 Birch Hollow Trl Nw
Marietta, GA 300645421
Specialties
-
Physical Therapist PrimaryA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic...
-
Physical TherapistPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 8190 | PHYSICAL THERAPY LICENSE |
| 01 (GA) | 10040361 | AMERIGROUP |
| 01 (GA) | 319309 | WELLCARE |
| 05 (GA) | 530349285A |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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