Active NPI
Amanda L Johnson, OTR/L
- Occupational Therapist
- Winston Salem, NC
National Provider Identifier
1447405394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6787
- Practice address
- 190 Moravian Way Dr
Winston Salem, NC 27106-3216 - Phone
- (336) 767-8130
- NPI assigned
- Nov 19, 2008
- 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 | 6787 | NC | Primary |
Addresses
Primary practice location
190 Moravian Way Dr
Winston Salem, NC 27106-3216
Mailing address
1313 Century Park Ave
Kernersville, NC 27284-3350
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 |
|---|---|---|---|
| 6787 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1447405394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 CENTURY PARK AVE",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272843350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 MORAVIAN WAY DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063216",
"telephone_number": "336-767-8130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AMANDA",
"middle_name": "L",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-19",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "6787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
- Johnson & Johnson Home Health Care, LLC
- Johnson Enrichment Services LLC
- Endia Cherese Johnson-Pitts, MD
- Adam Barrett Johnson, M.D.
- Alleta Selene Johnson, BCBA
- Amanda Marie Johnson, CRNA
- Angela Patrice Johnson
- Brandi Alexandria Johnson, CRNA
- Carrie Elizabeth Johnson, M.D., PH.D.
- Charles Anderson Johnson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.