Active NPI
Eric Mark Johnson, OTR/L
- Occupational Therapist
- Maineville, OH
National Provider Identifier
1831966894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 011137
- Practice address
- 201 Marge Schott Way
Maineville, OH 45039-8863 - Phone
- (513) 583-5161
- NPI assigned
- Dec 8, 2023
- Sex
- Male
- 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 | 011137 | OH | Primary |
Addresses
Primary practice location
201 Marge Schott Way
Maineville, OH 45039-8863
Mailing address
1808 Lincoln Ave
Cincinnati, OH 45212-2926
Phone (270) 577-6050
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011137 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1831966894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 LINCOLN AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122926",
"telephone_number": "270-577-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MARGE SCHOTT WAY",
"city": "MAINEVILLE",
"state": "OH",
"postal_code": "450398863",
"telephone_number": "513-583-5161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ERIC",
"middle_name": "MARK",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-08",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "011137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maineville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.