Jacqueline Ruth Johnson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3975 Issued in FL

Practice address

8840 Cypress Waters Blvd
Suite 300
Coppell, TX 75019-4594

Phone

(800) 929-2304

NPI assigned

Feb 29, 2016

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

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1447610753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 SW FLORIDA LOOP",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323408481",
            "telephone_number": "850-464-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 CYPRESS WATERS BLVD",
            "address_2": "SUITE 300",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194594",
            "telephone_number": "800-929-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JACQUELINE",
        "middle_name": "RUTH",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT3975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JLT Enterprises, Inc.
• JMJ Medical Group (de), P.a.
• Sigga Jobe, FNP
• Danielle Michelle Jochner, M.A.
• Australia Anita Johnson
• Jessica Noel Johnson, PT, DPT
• Mackenzie Leigh Johnson
• Rachel Johnson, DPT, PT
• Rebecca Johnson, PTA
• Barry Kelton Jones, M.ED, ATC, LAT

• Occupational Therapist in Coppell, TX
• Providers in Coppell, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.