Active NPI
Johanna Brown, OT
- Occupational Therapist
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60963058
- Practice address
- 320 Pacific PL
Mount Vernon, WA 98273-5463 - Phone
- (360) 416-7570
- NPI assigned
- Aug 21, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.0004340 | CO | |
| Occupational Therapist | 225X00000X | OT60963058 | WA | Primary |
Addresses
Primary practice location
320 Pacific PL
Mount Vernon, WA 98273-5463
Mailing address
320 Pacific PL
Mount Vernon, WA 98273-5463
Phone (720) 365-1959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0004340 | CO | MD | Occupational Therapist |
| OT60963058 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Group, PC | Occupational Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Current | Accepting new patients | |
| Apple Physical Therapy LLC | Occupational Therapist | Current | Accepting new patients |
| Apple Physical Therapy, LLC | Occupational Therapist | Current | Accepting new patients |
| Skagit Preschool Association and Resource Center | Past | Accepting new patients |
Locations
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
Organizations & group practices 5
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Auburn, WA
- NPI 1902808470
Occupational Therapist
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Occupational Therapist
-
dba IRG Physical & Hand Therapy - Marysville
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Occupational Therapist
-
- Speech-Language Pathologist
- Mount Vernon, WA
- NPI 1720286586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1588031850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 PACIFIC PL",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982735463",
"telephone_number": "720-365-1959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 PACIFIC PL",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982735463",
"telephone_number": "360-416-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JOHANNA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-21",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0004340",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60963058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.