Individual ProviderAbigail JohnsonPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2305 San Luis Pl, Green Bay, WI 54304-5211(920) 494-5231(920) 471-8042PECOS EnrollmentBased on the most recent information from CMS, provider Abigail Johnson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1801172010Provider TypeIndividualFull NameJohnson, AbigailCredentialPTAGenderFemaleSole ProprietorNoEnumeration Date11/1/2011Last Updated11/1/2011Contact InformationPractice LocationPractice Address2305 San Luis Pl, Green Bay, WI 54304-5211Phone(920) 494-5231FaxUnlisted FaxMailing LocationMailing Address3235 W Point Rd, Green Bay, WI 54313-5219Phone(920) 471-8042FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225200000XPrimaryDescriptionPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1802-019Wisconsin