Camryn Johnson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17690 Issued in NC

Practice address

195 W Illinois Ave
Southern Pines, NC 28387-5808

Phone

(910) 673-5437

Fax

(910) 673-5438

NPI assigned

Feb 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moore Pediatric Therapy Serivces

  • Community/Behavioral Health Agency
  • West End, NC
  • NPI 1356701528
  NPD (past)
• Moore Pediatric Therapy Serivces

  • Specialist
  • West End, NC
  • NPI 1982864849
  NPD (past)

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1336905348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 354",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273760354",
            "telephone_number": "910-673-5437",
            "fax_number": "910-673-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W ILLINOIS AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875808",
            "telephone_number": "910-673-5437",
            "fax_number": "910-673-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Benmosche Rd",
            "address_purpose": "LOCATION",
            "city": "Harris",
            "state": "NY",
            "postal_code": "12701",
            "country_code": "US",
            "telephone_number": "845-794-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAMRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "17690",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Scott Jamison, MD
• Jeffrey S. Almony, MD, DDS, PA (Southern Pines Oral & Maxillofacial Surgery Center)
• Jody McCain, PSYD PLLC
• Lindsay Johannes-Monroe, PH.D.
• John F. Ceraso, DMD, P.a.
• Kenneth M Johnson III, MD
• Shelby Johnson, PA-C
• Rebecca Jolls
• Brianna Jones
• Cassie Jones, MOT, OTR/L

• Occupational Therapist in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.