Individual provider Active NPI

Amy Lynn Johnson

  • Occupational Therapy Assistant
  • San Antonio, TX
National Provider Identifier
1740763408
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
212238 Issued in TX
Practice address
9738 Westover Hills Blvd
San Antonio, TX 78251-4583
Phone
(210) 305-5730
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 212238 TX Primary

Addresses

Primary practice location

9738 Westover Hills Blvd
San Antonio, TX 78251-4583

Mailing address

5746 Butch Cyn
San Antonio, TX 78252-2258
Phone (361) 331-7227

Other practice location 1

329 School Dr
Poteet, TX 78065-4307
Phone (830) 742-3525

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
212238TXMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1740763408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5746 BUTCH CYN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782522258",
            "telephone_number": "361-331-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9738 WESTOVER HILLS BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514583",
            "telephone_number": "210-305-5730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 School Dr",
            "address_purpose": "LOCATION",
            "city": "Poteet",
            "state": "TX",
            "postal_code": "780654307",
            "country_code": "US",
            "telephone_number": "830-742-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "212238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.