Individual provider Active NPI

Megan Johnson, OT

  • Occupational Therapist
  • Winder, GA
National Provider Identifier
1699131292
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006283 Issued in GA
Practice address
204 Resource LN
Winder, GA 30680-8361
Phone
(678) 963-0694
Fax
(888) 547-4008
NPI assigned
Jan 12, 2016
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT006283 GA Primary

Addresses

Primary practice location

204 Resource LN
Winder, GA 30680-8361

Mailing address

204 Resource LN
Winder, GA 30680-8361
Phone (678) 963-0694

Other practice location 1

3044 Due West Rd
Dallas, GA 30157-2125
Phone (770) 443-9672

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
OT006283GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Let's Communicate, Inc PastSince Aug 7, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1699131292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 RESOURCE LN",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808361",
            "telephone_number": "678-963-0694",
            "fax_number": "888-547-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 RESOURCE LN",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808361",
            "telephone_number": "678-963-0694",
            "fax_number": "888-547-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3044 Due West Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301572125",
            "country_code": "US",
            "telephone_number": "770-443-9672",
            "fax_number": "770-505-3595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MEGAN",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.