Sue Margaret Johnston, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

4806 Issued in SC

Practice address

4501 Old Spartanburg Rd Ste 7
Taylors, SC 29687-4105

Phone

(864) 292-5154

Fax

(864) 292-5154

NPI assigned

Mar 18, 2020

Last updated

Mar 18, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beacon Inc

  dba Speech Language Pathology Services

  • Speech-Language Pathologist
  • Taylors, SC
  • NPI 1689892853
  NPD

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1215563507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4272",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296084272",
            "telephone_number": "864-982-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 OLD SPARTANBURG RD STE 7",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296874105",
            "telephone_number": "864-292-5154",
            "fax_number": "864-292-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SUE",
        "middle_name": "MARGARET",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "4806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BeaconInc",
            "affiliation": "N",
            "address_1": "4501 Old Spartanburg Rd Ste 7",
            "city": "Taylors",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296874105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brooke Jackson
• Kady Jacobs
• Justin Jennings
• Jim Nasim DMD PA (Kenneth B. Knight DDS PA)
• JL Medical LLC
• Rosa Ann Jones
• Teleah J Jones
• Donna Metta Jordan, LPC
• Sabina Hussein Kapasi, MS PT
• Sonia Atu Karamchandani, D.M.D

• Occupational Therapy Assistant in Taylors, SC
• Providers in Taylors, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.