Active NPI
William Michael Johnson, OTR
- Occupational Therapist
- Tampa, FL
National Provider Identifier
1841439601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201007497
- Practice address
- 12425 Race Track Rd
Suite 100
Tampa, FL 33626-3102 - Phone
- (866) 416-5202
- NPI assigned
- Feb 18, 2009
- 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 | 5201007497 | MI | Primary |
Addresses
Primary practice location
12425 Race Track Rd
Suite 100
Tampa, FL 33626-3102
Mailing address
3202 Ottogan St
Hudsonville, MI 49426-9647
Phone (616) 250-0990
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 |
|---|---|---|---|
| 5201007497 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1841439601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 OTTOGAN ST",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494269647",
"telephone_number": "616-250-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12425 RACE TRACK RD",
"address_2": "SUITE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336263102",
"telephone_number": "866-416-5202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WILLIAM",
"middle_name": "MICHAEL",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-18",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201007497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.