Dawn K Johnson, OTR – Occupational Therapist

Key facts

NPI: 1225379738
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
License: 5242-26 (WI)
Practice address: 901 Bridge Creek LN
Augusta, WI 54722-2603
Phone: (414) 750-4980
NPI assigned: Mar 7, 2013
Sex: Female
Sole proprietor: No

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.

NSH Marshfield LLC Skilled Nursing Facility · Marshfield, WI · NPI 1295378123

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
5242-26	WI	MD	Specialist

Practice roles

Organization	Specialty	Status	New patients
NSH Marshfield LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist	174400000X	5242-26	WI
Occupational Therapist	225X00000X	118678	TX
Occupational Therapist	225X00000X	5242-26	WI	Yes

Addresses

Primary practice location

901 Bridge Creek LN
Augusta, WI 54722-2603

Mailing address

4103 60TH St
Kenosha, WI 53144-2509
Phone (262) 652-1111

Other practice location 1

4103 60th St
Kenosha, WI 53144-2509
Phone (262) 652-1111

Other providers in Augusta, WI

All providers in Augusta, WI · Occupational Therapist in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.