Kendra Elaine Johnston, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT4485 Issued in ME

Practice address

2042 Spruce St
Hermon, ME 04401-0247

Phone

(207) 316-3417

Fax

(207) 605-0260

NPI assigned

Aug 4, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kendra Elaine Carr Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• True Potential OT LLC

  • Occupational Therapist
  • Veazie, ME
  • NPI 1982243275
  NPD

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1285316646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 TOWNE CENTRE DR APT 104",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010647",
            "telephone_number": "207-745-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 SPRUCE ST",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010247",
            "telephone_number": "207-316-3417",
            "fax_number": "207-605-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "KENDRA",
        "middle_name": "ELAINE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "CARR",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Rose Hollins, PHARMD
• Shelley Renee Illingworth, RPH
• Lauren Jellison, NP
• Nancy A Jewett, LCPC-C
• John C. Hersey OD, PC
• Sarah E Johnston
• Amy Susan Kimball, CADC
• Anne J Knowles, P.T.
• Katy Kolyer, MS, OTR/L
• Bethany Jane Kraske, OTR/L

• Occupational Therapist in Hermon, ME
• Providers in Hermon, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.