Organization Active NPI

M. Johnson Therapy Service, Inc.

  • Occupational Therapist
  • Springdale, AR
National Provider Identifier
1568096865
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
M. JOHNSON THERAPY SERVICE, INC.
Practice address
252 Arborside Rd Unit E
Springdale, AR 72762-1418
Phone
(479) 477-1331
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Megan Johnson
Title
Owner
Phone
(479) 477-1331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

252 Arborside Rd Unit E
Springdale, AR 72762-1418

Mailing address

252 Arborside Rd Unit E
Springdale, AR 72762-1418
Phone (479) 477-1331

Other identifiers 1

IdentifierTypeStateIssuer
191890721MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1568096865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 ARBORSIDE RD UNIT E",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727621418",
            "telephone_number": "479-477-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 ARBORSIDE RD UNIT E",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727621418",
            "telephone_number": "479-477-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. JOHNSON THERAPY SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-477-1331"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191890721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.