Individual provider Active NPI

Carol Marsh Johnson

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1427337344
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0036541 Issued in NY
Practice address
795 Crown St
Apt # 2F
Brooklyn, NY 11213-5864
Phone
(516) 607-3061
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0036541 NY Primary

Addresses

Primary practice location

795 Crown St
Apt # 2F
Brooklyn, NY 11213-5864

Mailing address

795 Crown St
Apt # 2F
Brooklyn, NY 11213-5864
Phone (516) 607-3061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220819001997 NY Practitioner - Occupational Therapist in Private Practice 9133502362 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0036541NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Oct 1, 2024 Accepting new patients
Precision PT, OT & SLP Services, PLLC Occupational Therapist CurrentSince Apr 6, 2022 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

685 River Ave
Lakewood, NJ 08701
Phone (732) 364-3772

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

78 Stratton St S
Yonkers, NY 10701
Phone (732) 364-3772

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1427337344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 CROWN ST",
            "address_2": "APT # 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135864",
            "telephone_number": "516-607-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 CROWN ST",
            "address_2": "APT # 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135864",
            "telephone_number": "516-607-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROL",
        "middle_name": "MARSH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0036541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.