Kimberly A Johnson, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1376 Issued in AR

Practice address

1425 N Main St
Harrison, AR 72601-2214

Phone

(870) 741-4500

Fax

(870) 741-4507

NPI assigned

Nov 2, 2005

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jones Physical Therapy PLC

  • Physical Therapist
  • Harrison, AR
  • NPI 1124010368
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295726941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 OXFORD ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726014641",
            "telephone_number": "870-741-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012214",
            "telephone_number": "870-741-4500",
            "fax_number": "870-741-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5W530",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jlbreito Ezairway LLC
• David Phillip Johnson
• Felicia Johnson
• Ginger M Johnson
• Jessica Johnson
• Kyle Johnson, PHARMD
• Lynette Johnson, M.D.
• Jones Physical Therapy PLC
• Marcus Shawn Jones, MPT
• Julie Foster, Speech Language Pathologist, Inc.

• Occupational Therapist in Harrison, AR
• Providers in Harrison, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.