Ceianna Nichole Johnson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2421 Issued in WV

Practice address

2010 Garfield Ave Ste 2
Parkersburg, WV 26101-2529

Phone

(304) 917-3649

Fax

(304) 917-3651

NPI assigned

Oct 31, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Ceianna Nichole Bennett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mountain River Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Parkersburg, WV
  • NPI 1437754157
  NPD
• Mountain River Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Ocala, FL
  • NPI 1528663283
  NPD
• Mountain River Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Vincent, OH
  • NPI 1801491568
  NPD

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1629841812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "304-917-3660",
            "fax_number": "304-917-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 GARFIELD AVE STE 2",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012529",
            "telephone_number": "304-917-3649",
            "fax_number": "304-917-3651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10430 State Route 550 Ste A",
            "address_purpose": "LOCATION",
            "city": "Vincent",
            "state": "OH",
            "postal_code": "457845514",
            "country_code": "US",
            "telephone_number": "740-760-8593",
            "fax_number": "740-760-8594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 W Main St Ste E",
            "address_purpose": "LOCATION",
            "city": "Saint Clairsville",
            "state": "OH",
            "postal_code": "439501065",
            "country_code": "US",
            "telephone_number": "740-296-5042",
            "fax_number": "740-296-5320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CEIANNA",
        "middle_name": "NICHOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA007597",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C2333",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT012725",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "2421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CEIANNA",
            "last_name": "BENNETT",
            "middle_name": "NICHOLE",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jasmine B Johns
• Richard E Johns Jr., M.D.
• Johnson Chiropractic Clinic PLLC
• Alice Johnson
• Brittany Johnson
• Deborah Johnson
• Elizabeth F Johnson, LMT
• Erika Johnson, ACNPC-AG
• John Johnson
• Joni Kay Johnson, RN

• Occupational Therapist in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Occupational Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.