Active NPI
Heather Dawn Johnson, OTR/L
- Occupational Therapist
- Winter Haven, FL
National Provider Identifier
1487365201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT15708
- Practice address
- 1499 6TH St NW
Winter Haven, FL 33881-2365 - Phone
- (863) 293-7778
- NPI assigned
- Dec 13, 2022
- 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 | OT15708 | FL | Primary |
Addresses
Primary practice location
1499 6TH St NW
Winter Haven, FL 33881-2365
Mailing address
1499 6TH St NW
Winter Haven, FL 33881-2365
Other practice location 1
5155 US Hwy 98 south
Suite 5C
Lakeland, FL 33812
Phone (863) 815-2270
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 |
|---|---|---|---|
| OT15708 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1487365201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1499 6TH ST NW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338812365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 6TH ST NW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338812365",
"telephone_number": "863-293-7778"
}
],
"practiceLocations": [
{
"address_1": "5155 US Hwy 98 south",
"address_2": "Suite 5C",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "33812",
"country_code": "US",
"telephone_number": "863-815-2270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "HEATHER",
"middle_name": "DAWN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT15708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.