Susan A Johnson, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

4601027 Issued in WI

Practice address

354 N Main St
Oregon Manor LTD
Oregon, WI 53575

Phone

(608) 835-3535

NPI assigned

Apr 9, 2008

Last updated

Apr 9, 2008By the provider in NPPES

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

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1588837751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 ORCHARD DR",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751128",
            "telephone_number": "608-835-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 N MAIN ST",
            "address_2": "OREGON MANOR LTD",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "53575",
            "telephone_number": "608-835-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "4601027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Jagla
• David Gary James, O.D.
• Maxwell John, PTA
• Carin Johns, DPT
• Kristen Johnson
• Stephen L Kellogg, DDS
• Rick B Kleckler, RPH
• Kallie Kramer
• Rachael Kramer
• Lorraine Jean Lamanna, MD

• Occupational Therapy Assistant in Oregon, WI
• Providers in Oregon, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.