Active NPI
Caryl D Johnson, OT CHT
- Occupational Therapist
- New York, NY
National Provider Identifier
1073694022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0033341
- Practice address
- 160 W 66TH St
Suite 37-J
New York, NY 10023-6555 - Phone
- (212) 721-0460
- Fax
- (646) 559-2792
- NPI assigned
- Oct 18, 2006
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0033341 | NY | Primary |
Addresses
Primary practice location
160 W 66TH St
Suite 37-J
New York, NY 10023-6555
Mailing address
PO Box 237046
Ansonia Station
New York, NY 10023-0028
Phone (212) 721-0460
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P391770 | Other | OXFORD | |
| Q5962Q5061 | Other | NY | MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0033341 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1073694022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 237046",
"address_2": "ANSONIA STATION",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100230028",
"telephone_number": "212-721-0460",
"fax_number": "646-559-2792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 W 66TH ST",
"address_2": "SUITE 37-J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236555",
"telephone_number": "212-721-0460",
"fax_number": "646-559-2792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CARYL",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "OT CHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "0033341",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P391770",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Q5962Q5061",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.