Kimberly Johnson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5755 Issued in TN

Practice address

415 Catlett Rd
Sevierville, TN 37862-5901

Phone

(888) 531-2204

NPI assigned

Jan 8, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1013480581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 MOUNT DR APT 604",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378763130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CATLETT RD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625901",
            "telephone_number": "888-531-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z11921",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "5755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Louis Johnson, PA-C
• Clyde Joseph Johnson, PH.D.
• Darrell R. Johnson, MD
• Jeremy Andrew Johnson
• Keonna Johnson, MSW
• Steven Wayne Johnson, DO
• Jon E. Shell D.D.S.
• Eric Scott Jones
• Jonathan Tyler Jones, PHARMD
• Laura Jones

• Occupational Therapist in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.