Melinda Lea Johnson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.04724 Issued in OH

Practice address

303 N. Hurstbourne Parkway
Suite 200
Louisville, KY 40222

Phone

(502) 412-5847

NPI assigned

Aug 31, 2012

Last updated

Aug 31, 2012By the provider in NPPES

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": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1497004725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FAIRFIELD AVE",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448111008",
            "telephone_number": "419-217-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N. HURSTBOURNE PARKWAY",
            "address_2": "SUITE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40222",
            "telephone_number": "502-412-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELINDA",
        "middle_name": "LEA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA.04724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Faith Johnson
• Mallory Johnson, LPCC
• Marvea Johnson, MED, ATR-BC, LPAT
• Maureen Catherine Johnson, MA, CCC-SLP
• McKenzie Jo Johnson, SLP-CCC
• Melissa M Johnson, LCSW
• Meredith Lachele Johnson, PT, DPT
• Meredith N. Johnson, APRN
• Michele D Johnson, MD
• Molly Johnson

• Occupational Therapy Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.