Active NPI
Luis Andres Johnston, COTA/L
- Occupational Therapy Assistant
- Orlando, FL
National Provider Identifier
1265961270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 15744
- Practice address
- 7950 Lake Underhill Rd
Orlando, FL 32822-8229 - Phone
- (407) 658-2046
- NPI assigned
- Jun 5, 2017
- 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 Therapy Assistant | 224Z00000X | 15744 | FL | Primary |
Addresses
Primary practice location
7950 Lake Underhill Rd
Orlando, FL 32822-8229
Mailing address
2740 Palm Isle Way
Orlando, FL 32829-8578
Phone (407) 456-2315
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 |
|---|---|---|---|
| 15744 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496620800000",
"number": "1265961270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 PALM ISLE WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328298578",
"telephone_number": "407-456-2315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328228229",
"telephone_number": "407-658-2046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "LUIS",
"middle_name": "ANDRES",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-05",
"last_updated": "2017-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "15744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Alan D. Johnston, MD
- Brianna Johnston, OTR/L, LSVT BIG
- Briannie Nicole Johnston, M.A., CCC-SLP
- Jarrod Christopher Johnston, PA-C
- Katelyn Johnston
- Matthew Alan Johnston, MD
- Sean Matthew Johnston, PHARMD
- Tiffany Johnston, M.S., CF-SLP
- Dallas Joiner, M.D.
- Joint Regeneration and Rehabilitation Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.