Janice Kay Gabriel Johnson, OTRL
Individual provider Active NPI Occupational Therapist · Valley City, ND
NPI 1104000124 · NPPES record last updated May 31, 2023
Key facts
- NPI
- 1104000124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 756 (ND)
- Practice address
- 744 8TH Ave NW
Valley City, ND 58072-2000 - Phone
- (701) 840-0079
- NPI assigned
- Dec 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 756 | ND | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 756 | ND | Yes |
Addresses
Primary practice location
744 8TH Ave NW
Valley City, ND 58072-2000
Mailing address
744 8TH Ave NW
Valley City, ND 58072
Phone (701) 845-5834
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30517 | Other | ND | BC/BS |
| 55185 | Medicaid | ND |
Other providers in Valley City, ND
- Family Health Care Center
- Foell Chiropractic Clinic PA
- Justin Reed Foell
- Teresa D Formo
- Tracy Lynn Friese
- Emily Gadberry
- Gleam Aesthetic PLLC
- Genevieve M Goven
- Grant J Goven
- Jessica Gower
All providers in Valley City, ND · Occupational Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.