Individual provider Active NPI

Cheri Jo Johnson, MED, OTL

  • Pediatric Occupational Therapist
  • Spokane Valley, WA
National Provider Identifier
1316290315
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT00001122 Issued in WA
Practice address
10304 E 9TH Ave
Early Learning Center
Spokane Valley, WA 99206-3574
Phone
(509) 228-5513
NPI assigned
Oct 16, 2012
Last updated
Oct 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT00001122 WA Primary

Addresses

Primary practice location

10304 E 9TH Ave
Early Learning Center
Spokane Valley, WA 99206-3574

Mailing address

19307 E. Cataldo
Central Valley School District Special Services
Spokane Valley, WA 99016
Phone (509) 223-5513

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
OT00001122WAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1316290315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19307 E. CATALDO",
            "address_2": "CENTRAL VALLEY SCHOOL DISTRICT SPECIAL SERVICES",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99016",
            "telephone_number": "509-223-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10304 E 9TH AVE",
            "address_2": "EARLY LEARNING CENTER",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992063574",
            "telephone_number": "509-228-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHERI",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MED, OTL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT00001122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.