Individual provider Active NPI

Larry Alan Johnson, O.T.,C.H.T

  • Hand Occupational Therapist
  • Tulsa, OK
National Provider Identifier
1093860967
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
003049 Issued in MO
Practice address
8421 E 61St St
Suite P
Tulsa, OK 74133-1924
Phone
(918) 459-9305
Fax
(918) 250-6032
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 003049 MO Primary

Addresses

Primary practice location

8421 E 61St St
Suite P
Tulsa, OK 74133-1924

Mailing address

8421 E 61St St
Suite P
Tulsa, OK 74133-1924
Phone (918) 459-9305

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

LicenseStateTypeSpecialty
003049MOMDHand Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093860967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 E 61ST ST",
            "address_2": "SUITE P",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331924",
            "telephone_number": "918-459-9305",
            "fax_number": "918-250-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 E 61ST ST",
            "address_2": "SUITE P",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331924",
            "telephone_number": "918-459-9305",
            "fax_number": "918-250-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LARRY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "O.T.,C.H.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MO",
            "license": "003049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.