Johanna McGough-Pose

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2399 Ariel St N Ste a
Maplewood, MN 55109-2202

Phone

(651) 773-0354

NPI assigned

Jun 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Theraplay, LLC

  • Pediatric Occupational Therapist
  • Maplewood, MN
  • NPI 1215104393
  Medicare reassignment

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1043625577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 ARIEL ST N STE A",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092202",
            "telephone_number": "651-773-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 ARIEL ST N STE A",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092202",
            "telephone_number": "651-773-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOUGH-POSE",
        "first_name": "JOHANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madysen Michelle McCormick
• Paul M McCormick, DO
• Stephen A McCue, MD
• Patrick Michael McDonald, L.A.D.C.
• Megan Lynn McEllistrem-Ramierez, DO
• Ruth H McGowan, PA-C
• James M. McGreevy, M.D.
• Warren A McGuire, M.D.
• Janice M McIntosh, PT
• Rachel McIntosh, PA-C

• Occupational Therapist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.