Active NPI
Nathaniel C Johnson, MS OTR L
- Occupational Therapist
- Hackettstown, NJ
National Provider Identifier
1801014352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00391800
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 012733 | NY | MD | Physical Therapist |
| 46TR00391800 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Ambulance
- Yonkers, NY
- NPI 1003878596
-
- Voluntary or Charitable Agency
- Hollis, NY
- NPI 1164629788
-
- Clinic/Center
- New York, NY
- NPI 1497709166
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.