Active NPI
Drew Alexander Johnson, MSOT
- Occupational Therapist
- Pleasant Hill, IA
National Provider Identifier
1245943075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 118013
- Practice address
- 1500 Edgewater Dr
Pleasant Hill, IA 50327-0946 - Phone
- (515) 303-3565
- NPI assigned
- Dec 26, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 118013 | IA | Primary |
Addresses
Primary practice location
1500 Edgewater Dr
Pleasant Hill, IA 50327-0946
Mailing address
100 Jackson Ave Unit 219B
Des Moines, IA 50315-1252
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118013 | IA | MD | Occupational Therapist |
| 1746 | NE | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672012800000",
"number": "1245943075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 JACKSON AVE UNIT 219B",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503151252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EDGEWATER DR",
"city": "PLEASANT HILL",
"state": "IA",
"postal_code": "503270946",
"telephone_number": "515-303-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DREW",
"middle_name": "ALEXANDER",
"credential": "MSOT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-26",
"last_updated": "2022-12-26",
"certification_date": "2022-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "118013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Hill, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.