Lisa Marie Johnson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4024 Issued in SC

Practice address

9555 Ribaut Road
Beaufort Memorial Hospital
Beaufort, SC 29902

Phone

(843) 522-5900

NPI assigned

Oct 19, 2012

Last updated

Oct 19, 2012By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1598018103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PRESERVE AVE W APT 2238",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299352527",
            "telephone_number": "843-450-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 RIBAUT ROAD",
            "address_2": "BEAUFORT MEMORIAL HOSPITAL",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29902",
            "telephone_number": "843-522-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4024",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "4024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashawn Johnson Cromwell
• Colin Mitchell Johnson, MD
• Jannifer Johnson, RN
• Kari Johnson, RDN
• Kristen C Johnson
• Todd Eric Johnson, M.D.
• Howell Kevin Jones, M.D.
• Kayla Jones, PHARMD
• Kelly Jones
• Nathaniel Jones, M.D.

• Occupational Therapist in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.