Individual provider Active NPI

Laura Johnson

  • Occupational Therapy Assistant
  • Fayetteville, NC
National Provider Identifier
1144856709
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
13193 Issued in NC
Practice address
424 McArthur Rd.
Fayetteville, NC 28311
Phone
(910) 868-2002
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 13193 NC Primary

Addresses

Primary practice location

424 McArthur Rd.
Fayetteville, NC 28311

Mailing address

3213 Dove Hunter Circle
Fayetteville, NC 28306
Phone (830) 688-6021

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13193NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
RDL Therapeutic Outpatient Therapy Occupational Therapy Assistant CurrentSince Mar 22, 2020 Accepting new patients

Locations

424 McArthur Rd
Fayetteville, NC 28311
Phone (910) 229-2066

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1144856709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 DOVE HUNTER CIRCLE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28306",
            "telephone_number": "830-688-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 MCARTHUR RD.",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28311",
            "telephone_number": "910-868-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "13193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.