Individual provider Active NPI

Gregory A Johnston, OTR/L

  • Pediatric Occupational Therapist
  • Columbus, GA
National Provider Identifier
1639530074
Registry record updated Mar 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT001999 Issued in GA
Practice address
2515 Double Churches Rd
Human Performance and Rehabilitation Center
Columbus, GA 31909-2742
Phone
(706) 660-5495
NPI assigned
Mar 13, 2016
Last updated
Mar 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT001999 GA
Pediatric Occupational Therapist 225XP0200X OT001999 GA Primary

Addresses

Primary practice location

2515 Double Churches Rd
Human Performance and Rehabilitation Center
Columbus, GA 31909-2742

Mailing address

2515 Double Churches Rd
Human Performance and Rehabilitation Center
Columbus, GA 31909-2742
Phone (706) 660-5495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT001999GAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1457827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457827200000",
    "number": "1639530074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 DOUBLE CHURCHES RD",
            "address_2": "HUMAN PERFORMANCE AND REHABILITATION CENTER",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092742",
            "telephone_number": "706-660-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 DOUBLE CHURCHES RD",
            "address_2": "HUMAN PERFORMANCE AND REHABILITATION CENTER",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092742",
            "telephone_number": "706-660-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-13",
        "last_updated": "2016-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT001999",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT001999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; 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.