Active NPI
Whitney Anne Johnson, OT
- Occupational Therapist
- Waurika, OK
National Provider Identifier
1164709598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1673
- Practice address
- 107 E Anderson Ave
Waurika, OK 73573-3008 - Phone
- (918) 906-5370
- NPI assigned
- Nov 14, 2011
- Last updated
- Apr 3, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 114444 | TX | |
| Pediatric Occupational Therapist | 225XP0200X | 1673 | OK | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 1673 | OK | |
| Occupational Therapist | 225X00000X | 1673 | OK | Primary |
Addresses
Primary practice location
107 E Anderson Ave
Waurika, OK 73573-3008
Mailing address
107 E Anderson Ave
Waurika, OK 73573-3008
Phone (918) 906-5370
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
| License | State | Type | Specialty |
|---|---|---|---|
| 114444 | TX | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1164709598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 E ANDERSON AVE",
"city": "WAURIKA",
"state": "OK",
"postal_code": "735733008",
"telephone_number": "918-906-5370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E ANDERSON AVE",
"city": "WAURIKA",
"state": "OK",
"postal_code": "735733008",
"telephone_number": "918-906-5370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WHITNEY",
"middle_name": "ANNE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "TX",
"license": "114444",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OK",
"license": "1673",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "OK",
"license": "1673",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "1673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waurika, OK
- Highway 81 Pharmacy, LLC
- Steven Donald Hinshaw, DO
- Jefferson County Healthcare Authority (Jefferson County Hospital)
- Jefferson County Healthcare Authority (Jefferson County Hospital Swing Beds)
- Jefferson County Healthcare Authority (Waurika Family Medical Clinic)
- Tracy Dawn McKeever, PTA
- Brent M McReynolds Sr., PTA
- Medtech Corporation
- Steven D Hinshaw DO Inc
- Susan Howard Psychological Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.