Theresa F Johnson, OT
Individual provider Active NPI Occupational Therapist · Urbandale, IA
NPI 1619066552 · NPPES record last updated Nov 2, 2022
Key facts
- NPI
- 1619066552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 01170 (IA)
- Practice address
- 4319 NW Urbandale Dr
Urbandale, IA 50322-7910 - Phone
- (515) 225-4070
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01170 | IA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Stone Therapy Inc. | Current | Accepting new patients | |
| Blue Stone Therapy Inc. | Current | Accepting new patients |
Locations
4319 NW Urbandale Dr
Urbandale, IA 50322
Phone (515) 875-9470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 01170 | IA | Yes |
Addresses
Primary practice location
4319 NW Urbandale Dr
Urbandale, IA 50322-7910
Mailing address
4319 NW Urbandale Dr
Urbandale, IA 50322-7910
Phone (515) 225-4070
Other providers in Urbandale, IA
- Jacquelyne Renae Joens
- Amanda Lee Johnson
- Carmen Johnson
- Erin Johnson
- Steven Allen Johnson
- Jordyn Jondle
- Tina Kajtazovic
- Ellyn Rachael Kammeyer
- Zachary Philip Kanis
- Alexandria Kapfhamer
All providers in Urbandale, IA · Occupational Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.