Nicole Leigh Johnson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT010000656 Issued in DC

Practice address

5000 Nannie Helen Burroughs Ave NE
Washington, DC 20019-5506

Phone

(908) 392-4076

NPI assigned

May 3, 2011

Sex

Male

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

State licenses

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1609168186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 S ADAMS ST",
            "address_2": "APT. 206",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062878",
            "telephone_number": "908-392-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 NANNIE HELEN BURROUGHS AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200195506",
            "telephone_number": "908-392-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NICOLE",
        "middle_name": "LEIGH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119005295",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT010000656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mytaya Johnson
• Nasya Dayanna Johnson
• Ndea Johnson, PHARMD
• Nduka John Johnson
• Ngozi Johnson, HHA
• Nicole Reid Johnson, M.D.
• Nolan Raymond Johnson, PROVIDER
• Nyasha Johnson, LPC, CEAP, EAS-C
• Nzingha Johnson
• Pamela Johnson

• Occupational Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Occupational Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.