Mitchell Johnston, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

25755 Issued in CA

Practice address

10358 Pedra DO Sol Way
Elk Grove, CA 95757-3471

Phone

(916) 730-7092

Fax

(866) 225-9947

NPI assigned

Apr 23, 2025

Sex

Male

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

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prodigy Rehabilitation Group IncGroup PAC ID 3870903297, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Prodigy Rehabilitation Group Inc.

  • Physical Therapist
  • Elk Grove, CA
  • NPI 1790382505

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1730976531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 LOS MOLINOS WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958645253",
            "telephone_number": "916-799-8383",
            "fax_number": "866-225-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10358 PEDRA DO SOL WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573471",
            "telephone_number": "916-730-7092",
            "fax_number": "866-225-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MITCHELL",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "25755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moneka Johnson
• Paul W Johnson, D.M.D., PH.D.
• Ramona Johnson
• Stephen Johnson
• Zion Johnson
• Andrella Vontella Jones-Thomas
• Ashshajuana Jones
• Crystal Renee Jones
• Daniel Jones
• Emily Jones

• Occupational Therapist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.