Individual provider Active NPI

Alice Claire Johnston

  • Occupational Therapist
  • Robbinsville, NJ
National Provider Identifier
1023881141
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR0113900 Issued in NJ
Practice address
Paragon Sport Spine & Wellness
17 Main St. Ste 403
Robbinsville, NJ 08691
Phone
(609) 686-2050
Fax
(609) 482-4821
NPI assigned
Oct 31, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR0113900 NJ Primary

Addresses

Primary practice location

Paragon Sport Spine & Wellness
17 Main St. Ste 403
Robbinsville, NJ 08691

Mailing address

Paragon Sport Spine & Wellness
17 Main St. Ste 403
Robbinsville, NJ 08691
Phone (609) 686-2050

Other names 1

  • Alice Claire Johnston Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231117001305 NJ Practitioner - Occupational Therapist in Private Practice 2769839448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Sport Spine and Wellness LLCGroup PAC ID 1153658299, 11 clinicians

Practice addresses (Care Compare)

17 Main St
Suite 403
Robbinsville, NJ 08691-1436
Phone (609) 686-2050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Sport Spine & Wellness LLC CurrentSince Nov 7, 2023 Accepting new patients
Paragon Health Chiropractic CurrentSince Nov 5, 2023 Accepting new patients

Locations

17 Main St
Ste 403
Robbinsville, NJ 08691
Phone (609) 686-2050

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.

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1023881141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARAGON SPORT SPINE & WELLNESS",
            "address_2": "17 MAIN ST. STE 403",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "08691",
            "telephone_number": "609-686-2050",
            "fax_number": "609-482-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARAGON SPORT SPINE & WELLNESS",
            "address_2": "17 MAIN ST. STE 403",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "08691",
            "telephone_number": "609-686-2050",
            "fax_number": "609-482-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ALICE",
        "middle_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR0113900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "JOHNSTON",
            "middle_name": "CLAIRE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Robbinsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.