Jessica Johnson, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

O-T1375 Issued in AR

Practice address

306 E 11TH St
Russellville, AR 72801-6156

Phone

(479) 968-1198

Fax

(479) 967-1178

NPI assigned

Dec 11, 2013

Last updated

Dec 11, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1336570688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 3RD ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015204",
            "telephone_number": "479-968-1198",
            "fax_number": "479-967-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E 11TH ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728016156",
            "telephone_number": "479-968-1198",
            "fax_number": "479-967-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "O-T1375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee Nicole Johnson, COTA
• Danya Johnson, CASE MANAGER PARAPRO
• Heidi Johnson
• James Albert Johnson Jr., M. D.
• Jennifer Smith Johnson
• Laura Vanessa Johnson, AU.D.
• Loralye Elaine Johnson
• Sara Mishael Johnson
• Shakeena Johnson, PHARMD
• Shelby Johnson

• Occupational Therapy Assistant in Russellville, AR
• Providers in Russellville, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.