Active NPI
Abigail Rose Johnson, OTR/L
- Occupational Therapist
- Methuen, MA
National Provider Identifier
1396574182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15287
- Practice address
- 100 Milk St
Methuen, MA 01844-4662 - Phone
- (978) 685-0659
- NPI assigned
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15287 | MA | Primary |
Addresses
Primary practice location
100 Milk St
Methuen, MA 01844-4662
Mailing address
25 Ashley St
Pepperell, MA 01463-4206
Phone (978) 877-0455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15287 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1396574182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 ASHLEY ST",
"city": "PEPPERELL",
"state": "MA",
"postal_code": "014634206",
"telephone_number": "978-877-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MILK ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018444662",
"telephone_number": "978-685-0659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ABIGAIL",
"middle_name": "ROSE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "15287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.