Active NPI
Victoria Kate Johnston, OTD
- Occupational Therapist
- Charleston, SC
National Provider Identifier
1790474047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6348
- Practice address
- 2333 Ashley River Rd
Charleston, SC 29414-4755 - Phone
- (843) 258-5538
- NPI assigned
- May 3, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6348 | SC | Primary |
Addresses
Primary practice location
2333 Ashley River Rd
Charleston, SC 29414-4755
Mailing address
997 Johnnie Dodds Blvd Apt 217
Mount Pleasant, SC 29464-6114
Phone (843) 384-0793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230517003402 | SC | Practitioner - Occupational Therapist in Private Practice | 9032575063 |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1335 Stranssner Dr
Brentwood, MO 63144-1872
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation, LLC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
2333 Ashley River Rd
Charleston, SC 29414
Phone (843) 258-5538
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1902476633
Occupational Therapist
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1790474047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "997 JOHNNIE DODDS BLVD APT 217",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294646114",
"telephone_number": "843-384-0793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 ASHLEY RIVER RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294144755",
"telephone_number": "843-258-5538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "VICTORIA",
"middle_name": "KATE",
"name_prefix": "Dr.",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-03",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "6348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.