Individual provider Active NPI

Jennifer Nicole Johnsonbarnett, MSOT, OTR/L, LMT

  • Occupational Therapist
  • Montgomery, AL
National Provider Identifier
1487958930
Registry record updated Dec 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2520 Issued in AL
Practice address
5620 Sweetwood Way
Montgomery, AL 36117-4576
Phone
(334) 395-5727
NPI assigned
Dec 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2520 AL Primary
Occupational Therapist 225X00000X OC011708 PA

Addresses

Primary practice location

5620 Sweetwood Way
Montgomery, AL 36117-4576

Mailing address

5620 Sweetwood Way
Montgomery, AL 36117-4576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230911004279 AL Practitioner - Occupational Therapist in Private Practice 7810351723 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC011708PAMDOccupational Therapist
2520ALMDSpeech-Language Pathologist

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": "1293321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293321600000",
    "number": "1487958930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 SWEETWOOD WAY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 SWEETWOOD WAY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174576",
            "telephone_number": "334-395-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSONBARNETT",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "MSOT, OTR/L, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-26",
        "last_updated": "2010-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "2520",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC011708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.