Kinsey Mariah Johnson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119009101 Issued in VA

Practice address

1315 2ND St SW Ste 202
Roanoke, VA 24016-4935

Phone

(540) 982-2208

NPI assigned

Jul 13, 2021

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

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.

• Interact Pediatric Therapy Services, PLLC

  • Speech-Language Pathologist
  • Greensboro, NC
  • NPI 1740505346
  NPD (past)

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1386216984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "RIDGEWAY",
            "state": "VA",
            "postal_code": "241480808",
            "telephone_number": "276-734-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 2ND ST SW STE 202",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164935",
            "telephone_number": "540-982-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KINSEY",
        "middle_name": "MARIAH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119009101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Mitchell Johnson, DMD, MS
• Isaiah Micah Johnson, M.D.
• Jennifer Lynn Johnson, PA-C
• Karen Leigh Johnson, LPC
• Kathryn Quinn Johnson, D.O.
• Lauren Kay Johnson, PA-C
• Loren Johnson, MA, LPC, LMHC, LPCC
• Maria Christina Johnson, CNM
• Meagan Elizabeth Johnson, MD
• Meredith Logan Johnson, WHNP

• Occupational Therapist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.