Active NPI
Catherine Ireland Johnson, MS, OTR/L
- Pediatric Occupational Therapist
- Waxhaw, NC
National Provider Identifier
1023676087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 12501
- Practice address
- 1229 Toteros Dr
Waxhaw, NC 28173-6950 - Phone
- (704) 649-4509
- NPI assigned
- Jun 4, 2019
- Last updated
- Sep 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 12501 | NC | Primary |
Addresses
Primary practice location
1229 Toteros Dr
Waxhaw, NC 28173-6950
Mailing address
4223 Pepperidge Dr
Charlotte, NC 28226-7225
Phone (502) 802-8694
Other practice location 1
8848 Red Oak Blvd Ste AA
Charlotte, NC 28217-5595
Phone (980) 422-5887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12501 | NC | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestone Therapy Inc | Past | Accepting new patients | |
| Speech Tactics, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Waxhaw, NC
- NPI 1487824405
-
- Speech-Language Pathologist
- Charlotte, NC
- NPI 1861736308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1023676087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4223 PEPPERIDGE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282267225",
"telephone_number": "502-802-8694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 TOTEROS DR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281736950",
"telephone_number": "704-649-4509"
}
],
"practiceLocations": [
{
"address_1": "8848 Red Oak Blvd Ste AA",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282175595",
"country_code": "US",
"telephone_number": "980-422-5887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "CATHERINE",
"middle_name": "IRELAND",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "12501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waxhaw, NC
- Charles James
- Shirena James
- Chloe Jefferson
- Shemina Allaudin Jiwa-Thomas, RPH
- John and Sandra Ruocco DDS PA
- K. Jasinski, D.M.D., P.C. (Dental Care at Meadow Ridge)
- K. Jasinski, D.M.D., P.C. (Woodside View Dental Care)
- Kakouras Family Counseling, PLLC
- Anna Nicole Kantsios, LMFT
- Elizabeth Weaver Karpiel, MSP, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.