Madelyn Rose Johnson, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

024790 Issued in NY

Practice address

210 E 83Rd St Apt 1D
New York, NY 10028-2888

Phone

(804) 833-0193

NPI assigned

Jul 30, 2020

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1740899103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 83RD ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282888",
            "telephone_number": "804-833-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 83RD ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282888",
            "telephone_number": "804-833-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MADELYN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF CERTIFICATION IN OCCUPATIONAL THERAPY",
            "identifier": "438539",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE UNIVERSITY OF THE STATE OF NEW YORK, EDUCATION DEPARTMENT",
            "identifier": "024790",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Hagspiel Johnson
• Leyla Chala Johnson, PA-C
• Lisa Johnson
• Lisa Marguerite Johnson, MD
• Lynne Lalor Johnson, M.D.
• Mallory Anne Johnson
• Mara Johnson, LMHC
• Marc N Johnson, D.M.D.
• Marcus Donnell Johnson, CRC, LMHC, BC-TMH
• Margaret Hoke Johnson

• Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.