Provider Demographics
NPI:1619188232
Name:NEWSTEAD-JOHNSEY, ANN HAMILTON (PT, MS, GCS, NCS)
Entity Type:Individual
Prefix:PROF
First Name:ANN
Middle Name:HAMILTON
Last Name:NEWSTEAD-JOHNSEY
Suffix:
Gender:F
Credentials:PT, MS, GCS, NCS
Other - Prefix:PROF
Other - First Name:ANN
Other - Middle Name:HAMILTON
Other - Last Name:NEWSTEAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, MS, GCS, NCS
Mailing Address - Street 1:9714 FORTUNE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-2702
Mailing Address - Country:US
Mailing Address - Phone:210-650-4876
Mailing Address - Fax:210-567-8774
Practice Address - Street 1:7703 FLOYD CURL DR
Practice Address - Street 2:DEPARTMENT OF PHYSICAL THERAPY MSC 6247
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-567-8766
Practice Address - Fax:210-567-8774
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX02914586225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist