Active NPI
Steven Arthur Johnson, OTR/L
- Low Vision Occupational Therapist
- Watertown, MA
National Provider Identifier
1770712127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Occupational Therapist
- License
- 3192
- Practice address
- 15 Hazel St
Watertown, MA 02472-4205 - Phone
- (617) 393-2376
- NPI assigned
- Jul 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Low Vision Occupational Therapist | 225XL0004X | 3192 | MA | Primary |
Addresses
Primary practice location
15 Hazel St
Watertown, MA 02472-4205
Mailing address
15 Hazel St
Watertown, MA 02472-4205
Phone (617) 393-2376
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3192 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1770712127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 HAZEL ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024724205",
"telephone_number": "617-393-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 HAZEL ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024724205",
"telephone_number": "617-393-2376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "STEVEN",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-07",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "MA",
"license": "3192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.