Healthcare Provider Details

I. General information

NPI: 1649109315
Provider Name (Legal Business Name): BARBETTE JOHNSTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 WILLOW GROVE ST
HACKETTSTOWN NJ
07840-1799
US

IV. Provider business mailing address

314 MOUNTAIN LAKE RD
GREAT MEADOWS NJ
07838-2346
US

V. Phone/Fax

Practice location:
  • Phone: 908-850-6925
  • Fax: 908-979-8727
Mailing address:
  • Phone: 908-637-6719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00567000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: