Kelly Rayhill Johnson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31004099A Issued in IN

Practice address

5748 N 2300 LN
West Salem, IL 62476-3068

Phone

(724) 833-6469

NPI assigned

Apr 26, 2007

Last updated

Sep 3, 2014By 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

Other names 1

• Ms. Kelly Rayhill Johnson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1093935470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5748 N 2300 LN",
            "city": "WEST SALEM",
            "state": "IL",
            "postal_code": "624763068",
            "telephone_number": "724-833-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5748 N 2300 LN",
            "city": "WEST SALEM",
            "state": "IL",
            "postal_code": "624763068",
            "telephone_number": "724-833-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "middle_name": "RAYHILL",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004099A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "JOHNSON",
            "middle_name": "RAYHILL",
            "prefix": "MS.",
            "credential": "OTR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Apothecary Shoppe of West Salem Inc (The Apothecary Shoppe W Salem)
• Emily Brown, PHARMD
• Harry Timothy Garrett, DO
• Gail Greathouse, FNP
• Stormi T Raines, PA-C
• Richland Memorial Hospital, Inc (The Apothecary Shoppe)
• Richland Memorial Hospital, Inc (The Apothecary Shoppe)
• Richland Memorial Hospital, Inc.
• Richland Memorial Hospital, Inc. (RMH Rural Health Clinic)

• Occupational Therapist in West Salem, IL
• Providers in West Salem, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.