Brooke Lauren Johnson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

101624 Issued in IA

Practice address

1401 Campus Dr
Clive, IA 50325-6500

Phone

(515) 381-6519

NPI assigned

Jul 18, 2022

Last updated

Jul 18, 2022By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1215662911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 71ST ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224862",
            "telephone_number": "404-862-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CAMPUS DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503256500",
            "telephone_number": "515-381-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BROOKE",
        "middle_name": "LAUREN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "278756",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "101624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA BOARD OF OCCUPATIONAL AND PHYSICAL THERAPY",
            "identifier": "101624",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "278756",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Jipp, M.D.
• JMG Therapy and Counseling
• Jillian Anne Johns
• Amanda Lee Johnson, LMSW
• Amy R Johnson, PT
• Channing Johnson, ARNP, FNP-C
• Christopher M Johnson, DO
• Torri Madison Johnson, LISW
• Madisyn Jones, OT
• Kara Lynne Jorgensen, BCBA

• Occupational Therapist in Clive, IA
• Providers in Clive, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.