Kimberly Johnston

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

213185 Issued in TX

Practice address

1000 Saint Louis Ave
Suite 102
Fort Worth, TX 76104-3366

Phone

(817) 921-5020

Fax

(817) 921-5022

NPI assigned

Oct 6, 2015

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

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1649640319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 NE LOOP 820",
            "address_2": "BUSINESS TOWER 1, SUITE 200",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760537209",
            "telephone_number": "817-292-8787",
            "fax_number": "817-789-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SAINT LOUIS AVE",
            "address_2": "SUITE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043366",
            "telephone_number": "817-921-5020",
            "fax_number": "817-921-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "213185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa L Johnson, MD
• Yvette R Johnson, MD
• Johnson'S Gentle Care Homes LLC
• Johnson'S Gentle Care LLC
• Andrea Johnston, SLP
• Lauren Lenoir Johnston, LPC
• Mackenzie Denise Johnston
• Madison Corinne Johnston, PA
• Pamela B Johnston, O.T.
• Shawna Marie Johnston, NNP-BC

• Occupational Therapy Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.