Individual provider Active NPI

Nathaniel C Johnson, MS OTR L

  • Occupational Therapist
  • Hackettstown, NJ
National Provider Identifier
1801014352
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00391800 Issued in NJ
Practice address
37 Oriole Dr
Hackettstown, NJ 07840-3116
Phone
(908) 303-4092
NPI assigned
Apr 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00391800 NJ Primary

Addresses

Primary practice location

37 Oriole Dr
Hackettstown, NJ 07840-3116

Mailing address

37 Oriole Dr
Hackettstown, NJ 07840-3116
Phone (908) 303-4092

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
012733NYMDPhysical Therapist
46TR00391800NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespire, Inc. Past Accepting new patients
Lifespire, Inc. Past Accepting new patients
Empress Ambulance Service LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1801014352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ORIOLE DR",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403116",
            "telephone_number": "908-303-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 ORIOLE DR",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403116",
            "telephone_number": "908-303-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NATHANIEL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MS OTR L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-22",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00391800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.