Victoria Lucero Johnson

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-047075 Issued in AZ

Practice address

43491 N Coyote Rd
San Tan Valley, AZ 85140-8924

Phone

(602) 421-7718

NPI assigned

Aug 1, 2022

Last updated

Aug 1, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hoofbeats With Heart

  • Home Health Agency
  • San Tan Valley, AZ
  • NPI 1114221272
  NPD (past)

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1093441008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 E HARRISON ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852959075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43491 N COYOTE RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851408924",
            "telephone_number": "602-421-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VICTORIA",
        "middle_name": "LUCERO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-047075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Jensen, PTA
• Jerri Lynn Jimenez
• Dorothy Moten Johnson
• Leighann Johnson, GROUP HOME OWNER
• Sue Ann Johnson, FNP
• Hanifa A. Jones, M.D.
• Judith A Jones, N.MD
• Monte L Jones, MD
• Tammatha Lynn Jones, FNP-C
• Neelambari G Joshi, OTR/L

• Occupational Therapy Assistant in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.