Active NPI
Johanna M Overhauser, MOTR/L
- Gerontology Occupational Therapist
- Spokane, WA
National Provider Identifier
1245534080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- OT60067320
- Practice address
- 17 E 8TH Ave
Spokane, WA 99202-1201 - Phone
- (509) 474-7941
- NPI assigned
- Jan 10, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | OT60067320 | WA | Primary |
Addresses
Primary practice location
17 E 8TH Ave
Spokane, WA 99202-1201
Mailing address
16271 N Tamarac LN
Nine Mile Falls, WA 99026
Phone (509) 995-3762
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 |
|---|---|---|---|
| OT60067320 | WA | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1245534080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16271 N TAMARAC LN",
"city": "NINE MILE FALLS",
"state": "WA",
"postal_code": "99026",
"telephone_number": "509-995-3762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E 8TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021201",
"telephone_number": "509-474-7941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERHAUSER",
"first_name": "JOHANNA",
"middle_name": "M",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-10",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "WA",
"license": "OT60067320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.