Amy Diana Johnson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

12900 Issued in FL

Practice address

1651 Grandeflora Ave
Clermont, FL 34711-6271

Phone

(407) 592-6547

NPI assigned

Sep 26, 2013

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1104253863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 GRANDEFLORA AVE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116271",
            "telephone_number": "407-592-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 GRANDEFLORA AVE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116271",
            "telephone_number": "407-592-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMY",
        "middle_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "12900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ernest Jocson, P.T.
• Joelle Bangsund, LCSW LLC
• Charmain Carol John, ARNP
• Alea Johnson
• Alison Danielle Johnson
• Anita M Johnson, M.A. CCC-SLP
• Ashlea Eleanor Johnson, LCSW
• Christopher James Johnson, D.O.
• Christopher T Johnson, DMD
• Corey Demonne Johnson Jr.

• Occupational Therapy Assistant in Clermont, FL
• Providers in Clermont, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.