Jerome M Johnson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

04266 Issued in MD

Practice address

3611 Branch Ave
Suite 403
Temple Hills, MD 20748-1242

Phone

(301) 899-0007

Fax

(301) 899-7008

NPI assigned

Jun 20, 2009

Last updated

Jun 20, 2009By the provider in NPPES

Sex

Male

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)

Enrolled

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

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245456000000",
    "number": "1346477064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7906 WOODYARD RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351961",
            "telephone_number": "301-452-6198",
            "fax_number": "240-823-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 BRANCH AVE",
            "address_2": "SUITE 403",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481242",
            "telephone_number": "301-899-0007",
            "fax_number": "301-899-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEROME",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-20",
        "last_updated": "2009-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "04266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zyair Onee Jennifer
• JNP Enterprises, Inc. (pearle vision, temple hills, maryland)
• Jenny Anne John, MD
• Johnson Transportation Services LLC
• Aisha Peterson Johnson, M.D.
• San Juan Johnson, R.C.P
• Spencer Fry Johnson, M.D.
• Stephon Q Johnson
• Bianca Jones-Edelen
• Chris Jones

• Occupational Therapist in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2009; 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.