Healthcare Provider Details

I. General information

NPI: 1174427314
Provider Name (Legal Business Name): JOHNNA ANN FILIPPONI PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1249 NJ-33 SUITE 10
HAMILTON TOWNSHIP NJ
08690
US

IV. Provider business mailing address

1249 NJ-33 SUITE 10
HAMILTON TOWNSHIP NJ
08690
US

V. Phone/Fax

Practice location:
  • Phone: 609-964-7477
  • Fax: 609-957-5244
Mailing address:
  • Phone: 609-964-7477
  • Fax: 609-957-5244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number40QB00430400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: