Tiffany Nicole Johnson

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A1430 Issued in AR

Practice address

2911 Longview Dr Ste B
Jonesboro, AR 72401-5902

Phone

(870) 336-0238

Fax

(870) 336-0239

NPI assigned

Jan 28, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Therapeutic Alliance

  • Orthopedic Physical Therapist
  • West Memphis, AR
  • NPI 1003219510

  Occupational Therapy Assistant

  NPD (past)
• Therapeutic Focus, L.L.C.

  • Occupational Therapist
  • West Memphis, AR
  • NPI 1972875896

  Occupational Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1780148320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MISSOURI ST STE 1",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013148",
            "telephone_number": "870-400-0179",
            "fax_number": "870-400-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 LONGVIEW DR STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015902",
            "telephone_number": "870-336-0238",
            "fax_number": "870-336-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Johnson, COTA
• Shantal K Johnson
• Shemika Johnson
• Sienna Johnson
• Stephanie Annette Johnson, LPN
• Timothy Johnson, MHPP
• Toneika Johnson, MHPP
• Tristan James Johnson, DC
• Vernita Johnson
• Westley Wendell Johnson

• Occupational Therapy Assistant in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.