Stephanie Lynn Johnson, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201007825 Issued in MI

Practice address

4197 E Grand River Ave
Howell, MI 48843-8523

Phone

(517) 258-1356

Fax

(517) 507-3324

NPI assigned

Jun 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Warren Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Wholistic Physical Therapy Clinic

  • Physical Therapist
  • Howell, MI
  • NPI 1215536040
  NPD
• Huron Valley Rehab,LLC

  • Physical Therapist
  • Royal Oak, MI
  • NPI 1225202476

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1639584998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4197 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438523",
            "telephone_number": "517-258-1356",
            "fax_number": "517-507-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4197 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438523",
            "telephone_number": "517-258-1356",
            "fax_number": "517-507-3324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Gardenia Ave",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480674402",
            "country_code": "US",
            "telephone_number": "248-804-3425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WARREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin John Jinks
• Timothy Job, NP
• John M Stevelinck DPM PC
• Allen Wesley Johnson, OTR
• Mary Teresa Johnson, RN
• Gage P Johnston
• Rene Lydia Johnston
• Christina Alana Jolokai
• Jacqueline Susanne Jones
• Joyful Pediatrics, PLLC

• Occupational Therapist in Howell, MI
• Providers in Howell, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.