Active NPI
Melissa Marie Johnson, OTR
- Occupational Therapist
- Sutherland, NE
National Provider Identifier
1487977351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1426
- Practice address
- 333 Maple St.
Sutherland, NE 69165 - Phone
- (308) 386-4393
- Fax
- (308) 386-4378
- NPI assigned
- Mar 8, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 1426 | NE | Primary |
Addresses
Primary practice location
333 Maple St.
Sutherland, NE 69165
Mailing address
333 Maple St.
Sutherland, NE 69165
Phone (308) 386-4393
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 |
|---|---|---|---|
| 1426 | NE | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1487977351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 MAPLE ST.",
"city": "SUTHERLAND",
"state": "NE",
"postal_code": "69165",
"telephone_number": "308-386-4393",
"fax_number": "308-386-4378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 MAPLE ST.",
"city": "SUTHERLAND",
"state": "NE",
"postal_code": "69165",
"telephone_number": "308-386-4393",
"fax_number": "308-386-4378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MELISSA",
"middle_name": "MARIE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-08",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sutherland, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.