Taylor Mackenzie Johnson, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4061 Issued in MS

Practice address

1411 Highway 389
Starkville, MS 39759-8451

Phone

(662) 769-4888

Fax

(662) 338-5439

NPI assigned

Jul 26, 2023

Sex

Female

Sole proprietor

No

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

Enrolled in MS

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Therapy LLCGroup PAC ID 7012971047, 86 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Performance Therapy LLC

  • Physical Therapist
  • Philadelphia, MS
  • NPI 1851427132
  Medicare reassignment Care Compare group NPD
• OT 4 Kidz, LLC

  • Occupational Therapist
  • Starkville, MS
  • NPI 1558696658
  NPD
• Children's Rehab

  • Physical Therapist
  • Flowood, MS
  • NPI 1649748351

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1508547381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 HIGHWAY 389",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397598451",
            "telephone_number": "662-312-8388",
            "fax_number": "662-338-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 HIGHWAY 389",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397598451",
            "telephone_number": "662-769-4888",
            "fax_number": "662-338-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAYLOR",
        "middle_name": "MACKENZIE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "4061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Denise Johnson, MS,CCC-SLP
• Brittany Johnson, PTA
• Emily Marie Johnson, MS, PLPC
• Kizmet Johnson, MS
• Linda Johnson, LSW
• Andrea Rodgers Jones, DPT
• Keely Jones
• Laurel Jones, MS, CCC-SLP
• Sammie Lee Jones Jr., D.C.
• Shannon Palmer Jones, MD

• Occupational Therapist in Starkville, MS
• Providers in Starkville, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.