Active NPI
Jennifer L Johnson, OTR
- Occupational Therapist
- Huber Heights, OH
National Provider Identifier
1033270202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 6180
- Practice address
- 4017-B6 Cloud Park Dr
Huber Heights, OH 45424 - Phone
- (937) 235-9470
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 6180 | OH | Primary |
| Ergonomics Occupational Therapist | 225XE1200X | OT 6180 | OH | |
| Hand Occupational Therapist | 225XH1200X | OT 6180 | OH | |
| Pediatric Occupational Therapist | 225XP0200X | OT 6180 | OH |
Addresses
Primary practice location
4017-B6 Cloud Park Dr
Huber Heights, OH 45424
Mailing address
4017-B6 Cloud Park Dr
Huber Heights, OH 45424
Phone (937) 235-9470
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 6180 | OH | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1033270202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4017-B6 CLOUD PARK DR",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "45424",
"telephone_number": "937-235-9470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4017-B6 CLOUD PARK DR",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "45424",
"telephone_number": "937-235-9470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT 6180",
"primary": true
},
{
"code": "225XE1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Ergonomics",
"state": "OH",
"license": "OT 6180",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "OH",
"license": "OT 6180",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OH",
"license": "OT 6180",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huber Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.