Provider Demographics
NPI:1073357117
Name:JOHNSON, BRIANNA HOPE (DPT)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:HOPE
Last Name:JOHNSON
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5111 N RHETT AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-4219
Mailing Address - Country:US
Mailing Address - Phone:843-804-9479
Mailing Address - Fax:
Practice Address - Street 1:142 SPORTSMAN ISLAND DR STE F
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29492-8524
Practice Address - Country:US
Practice Address - Phone:843-377-8820
Practice Address - Fax:843-377-8823
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH11859225100000X
SC12409225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist