Active NPI
Marla Denise Johnson, OT
- Occupational Therapist
- Little Rock, AR
National Provider Identifier
1144457458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- O-T0904
- Practice address
- 10310 W Markham St
Little Rock, AR 72205-2175 - Phone
- (501) 406-7910
- NPI assigned
- Jun 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | O-T0904 | AR | Primary |
Addresses
Primary practice location
10310 W Markham St
Little Rock, AR 72205-2175
Mailing address
10310 W Markham St
Little Rock, AR 72205-2175
Phone (501) 406-7910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-T0904 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just for Kids Therapy Services | Occupational Therapist | Past | Accepting new patients |
| Just for Kids Therapy Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1265404917
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- Speech-Language Pathologist
- Sherwood, AR
- NPI 1457421042
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1144457458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10310 W MARKHAM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722052175",
"telephone_number": "501-406-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10310 W MARKHAM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722052175",
"telephone_number": "501-406-7910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MARLA",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-12",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "O-T0904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.