Caleb Johnson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

115789 Issued in TX

Practice address

13508 Misty Shadow LN
Pearland, TX 77584-3705

Phone

(989) 598-5695

NPI assigned

Sep 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1326522954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 BUSINESS CENTER DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13508 MISTY SHADOW LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843705",
            "telephone_number": "989-598-5695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3406 Business Center Dr",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "77584",
            "country_code": "US",
            "telephone_number": "346-570-2284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13508 Misty Shadow Ln",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "77584",
            "country_code": "US",
            "telephone_number": "989-598-5695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CALEB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Fontella Johnson Mukombe, LMT
• Teri Johnson-Harper, LCSW
• Antonio Delmar Johnson, MSPT, DPT, CEAS
• Ariane Johnson
• C'Arra J Johnson
• Caprisha S Johnson
• Carole Ann Johnson
• Derrick Johnson, MS, LPC, LCDC-I
• Devin Johnson, M.A., BCBA, LBA
• Dominique Johnson

• Occupational Therapist in Pearland, TX
• Providers in Pearland, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.