Elizabeth Johnson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

273126 Issued in KY

Practice address

201 Democrat Dr
Frankfort, KY 40601-9214

Phone

(502) 352-2330

NPI assigned

Oct 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Havlik Former name

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1437813615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 DONALYNN DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016167",
            "telephone_number": "734-765-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DEMOCRAT DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406019214",
            "telephone_number": "502-352-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "273126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HAVLIK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James D Quarles MD
• Jan J Weisberg. MD
• Jason W Luking D.C. PLC
• Taunya M Jasper, M.D.
• Amanda Gabrielle Jeffries, DO
• James R Johnson, LCSW
• Katlin Johnson
• Mark Johnson
• Ann M Johnston, MD
• Nikolina O Jonah, MD

• All providers in Frankfort, KY
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.