Active NPI
Carol L Johnson, OTRL
- Occupational Therapist
- Chapel Hill, NC
National Provider Identifier
1154542223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0602
- Practice address
- 2226 Nelson Hwy Ste H
Chapel Hill, NC 27517-7883 - Phone
- (919) 493-1170
- Fax
- (919) 493-1640
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0602 | NC | Primary |
| Specialist | 174400000X | 0602 | NC |
Addresses
Primary practice location
2226 Nelson Hwy Ste H
Chapel Hill, NC 27517-7883
Mailing address
2226 Nelson Hwy Ste H
Chapel Hill, NC 27517-7883
Phone (919) 493-1170
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0443M | Other | NC | BCBS NC DME |
| 12411 | Other | NC | BLUE CROSS BLUE SHIELD NC |
| 5621622071 | Other | NC | TRICARE |
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 |
|---|---|---|---|
| 0602 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lymflo Therapies, Inc. | Past | Accepting new patients |
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.
-
- Durable Medical Equipment & Medical Supplies
- Chapel Hill, NC
- NPI 1366438467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224460800000",
"number": "1154542223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2226 NELSON HWY STE H",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275177883",
"telephone_number": "919-493-1170",
"fax_number": "919-493-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2226 NELSON HWY STE H",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275177883",
"telephone_number": "919-493-1170",
"fax_number": "919-493-1640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CAROL",
"middle_name": "L",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2008-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "0602",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "0602",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC DME",
"identifier": "0443M",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NC",
"identifier": "12411",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "5621622071",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.