Convalecia Marie Johnson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

125007 Issued in TX

Practice address

8222 N Belt Line Rd Ste 175
Irving, TX 75063-2276

Phone

(972) 241-9334

NPI assigned

Sep 17, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pate Rehabilitation Endeavors, LLC

  • Rehabilitation Clinic/Center
  • Irving, TX
  • NPI 1083738892
  NPD

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1104653757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 S COLLINS ST APT 131",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142278",
            "telephone_number": "214-325-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 N BELT LINE RD STE 175",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632276",
            "telephone_number": "972-241-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CONVALECIA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "125007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia John
• Adrienne Dominique Johnson
• Booker Johnson, COTA
• Carmen Johnson
• Clothilda Johnson
• Dana Catherine Johnson, LPC
• Jenny Ann Johnson, FNP-C
• Kristina Lee Johnson, COTA
• Leland Jay Johnson
• Melissa Ann Johnson, PNP

• Occupational Therapist in Irving, TX
• Providers in Irving, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.