Jocelyn Johnson, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR1436 Issued in AR

Practice address

188 County Road 133
Bono, AR 72416

Phone

(870) 919-3141

Fax

(870) 931-6599

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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.

• Bloom of Jonesboro, LLC

  • Pediatric Physical Therapist
  • Jonesboro, AR
  • NPI 1770061038
  NPD Authorized official
• Bloom Pediatric Therapy Services Inc

  • Occupational Therapist
  • Jonesboro, AR
  • NPI 1871618173
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2018.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1093873531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 COUNTY ROAD 133",
            "city": "BONO",
            "state": "AR",
            "postal_code": "724168084",
            "telephone_number": "870-919-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 COUNTY ROAD 133",
            "city": "BONO",
            "state": "AR",
            "postal_code": "72416",
            "telephone_number": "870-919-3141",
            "fax_number": "870-931-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOCELYN",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Haley
• Healing Hands Primary Care LLC
• Laura Michelle Hernandez, APRN, FNP-C
• Tiffany Paige Holcomb, APRN, FNP-BC
• Courtney Reese Johnson
• Kristy D. Johnson, NP-C
• Gaylon Jones
• Jonesboro Pediatric Therapy, Inc.
• Hannah Jordan
• Emma Jung

• All providers in Bono, AR
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.