Active NPI
Megan Marie Johnson, MS, OTR/L
- Occupational Therapist
- Coventry, CT
National Provider Identifier
1710401427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4794
- Practice address
- 1415 South St
Coventry, CT 06238-3216 - Phone
- (860) 205-5849
- NPI assigned
- Aug 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4794 | CT | Primary |
Addresses
Primary practice location
1415 South St
Coventry, CT 06238-3216
Mailing address
1415 South St
Coventry, CT 06238-3216
Phone (860) 205-5849
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676073600000",
"number": "1710401427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 SOUTH ST",
"city": "COVENTRY",
"state": "CT",
"postal_code": "062383216",
"telephone_number": "860-205-5849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 SOUTH ST",
"city": "COVENTRY",
"state": "CT",
"postal_code": "062383216",
"telephone_number": "860-205-5849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MEGAN",
"middle_name": "MARIE",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2023-02-11",
"certification_date": "2023-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "4794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coventry, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.