Active NPI
Josiah Johnson
- Occupational Therapy Assistant
- Charlotte, NC
National Provider Identifier
1063325785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 15704
- Practice address
- 3610 Randolph Rd
Charlotte, NC 28211-1318 - Phone
- (704) 486-2527
- NPI assigned
- Sep 24, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 15704 | NC | Primary |
Addresses
Primary practice location
3610 Randolph Rd
Charlotte, NC 28211-1318
Mailing address
300 E 36TH St Apt 537
Charlotte, NC 28206-2650
Phone (864) 915-3732
Other practice location 1
4123 Kuykendall Rd
Charlotte, NC 28270-4449
Phone (704) 708-9931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1063325785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E 36TH ST APT 537",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282062650",
"telephone_number": "864-915-3732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111318",
"telephone_number": "704-486-2527"
}
],
"practiceLocations": [
{
"address_1": "4123 Kuykendall Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282704449",
"country_code": "US",
"telephone_number": "704-708-9931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "JOSIAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "15704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.