Wanda Sue Johnson

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

0131000223 Issued in VA

Practice address

16292 Porterfield Hwy
Abingdon, VA 24210-8474

Phone

(276) 701-2406

NPI assigned

Nov 27, 2012

Last updated

Nov 27, 2012By the provider in NPPES

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": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1699010942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16292 PORTERFIELD HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242108474",
            "telephone_number": "276-701-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16292 PORTERFIELD HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242108474",
            "telephone_number": "276-701-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WANDA",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "VA",
            "license": "0131000223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary H Johnson, MD
• Michael Kenneth Johnson, RPH
• Sarah E Johnson, NP
• Sheri Johnson
• Taylor Johnson, PHARMD
• Johnston Memorial Hospital (Johnston Memorial Hospital ER Physicians)
• Johnston Memorial Hospital (Johnston Memorial Hospital Reference Lab)
• Johnston Memorial Hospital (Hospitalist of Johnston Memorial Hospital)
• Johnston Memorial Hospital
• Johnston Memorial Hospital, Inc

• Physical Rehabilitation Occupational Therapist in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Physical Rehabilitation Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.