Peta-Gaye Johnson, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA12315 Issued in FL

Practice address

2113 SW 87TH Ter
Miramar, FL 33025-2014

Phone

(954) 430-9913

Fax

(305) 826-1545

NPI assigned

Jan 2, 2014

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": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1356762744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 SW 87TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252014",
            "telephone_number": "954-430-9913",
            "fax_number": "305-826-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 SW 87TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252014",
            "telephone_number": "954-430-9913",
            "fax_number": "305-826-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PETA-GAYE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA12315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Joanne Johnson, APRN
• Kamla Denise Johnson, LCSW
• Karen Ann Johnson, M.D.
• Lavern Joy Johnson, ARNP
• Pamela Elizabeth Johnson, ADOULT ARNP
• Shrearest Crenshaw Johnson, M.D.
• Timothy M Johnson
• Fatema Johora
• Jomar'S Group Home, Inc
• Cecil Rodwell Jonas, MD

• Occupational Therapy Assistant in Miramar, FL
• Providers in Miramar, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.