Provider Demographics
NPI:1891519583
Name:JOHNSTON, ISABEL ANITA (PT, DPT)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:ANITA
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03862-2308
Mailing Address - Country:US
Mailing Address - Phone:603-996-1333
Mailing Address - Fax:
Practice Address - Street 1:767 ISLINGTON ST STE 1C
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-7206
Practice Address - Country:US
Practice Address - Phone:603-368-9971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-11
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT6985225100000X
NH5604225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist