Johanna Marie Judd, MS, OTR/L, CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT16369 Issued in FL

Practice address

340 16TH Ave N Ste B
Jacksonville Beach, FL 32250-4819

Phone

(440) 413-6379

NPI assigned

May 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1477964732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N CHURCHILL DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864171",
            "telephone_number": "440-413-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 16TH AVE N STE B",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504819",
            "telephone_number": "440-413-6379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 13th St N",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322503682",
            "country_code": "US",
            "telephone_number": "727-741-3405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDD",
        "first_name": "JOHANNA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MS, OTR/L, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise V. Jones, LMHC
• Madelyn Jones, PT, DPT
• Rebecca Hopkins Jones, LISW
• Jorge a Aguilar MD PA
• George Micheal Joseph Jr., M.S.
• Michael John Jumber, DMD
• Kali Thurman Aprn LLC
• Marcus A Kampfe, DC
• Alexis Kane, CRNA
• Susan M Kane, R.PH.

• Occupational Therapist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.