Active NPI
James E. Johnson, OT
- Occupational Therapist
- Gainesville, FL
National Provider Identifier
1861792749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT9490
- Practice address
- 5516 NW 27TH Ter
Gainesville, FL 32653-2040 - Phone
- (352) 871-6783
- NPI assigned
- Oct 26, 2010
- Last updated
- Oct 26, 2010
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | OT9490 | FL | |
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | OT9490 | FL | |
| Assistive Technology Supplier Rehabilitation Counselor | 225CA2500X | OT9490 | FL | |
| Occupational Therapist | 225X00000X | OT9490 | FL | Primary |
| Gerontology Occupational Therapist | 225XG0600X | OT9490 | FL | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT9490 | FL | |
| Environmental Modification Occupational Therapist | 225XE0001X | OT9490 | FL |
Addresses
Primary practice location
5516 NW 27TH Ter
Gainesville, FL 32653-2040
Mailing address
5516 NW 27TH Ter
Gainesville, FL 32653-2040
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT9490 | FL | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1861792749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5516 NW 27TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326532040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5516 NW 27TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326532040",
"telephone_number": "352-871-6783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JAMES",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-26",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "FL",
"license": "OT9490",
"primary": false
},
{
"code": "225CA2400X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": "FL",
"license": "OT9490",
"primary": false
},
{
"code": "225CA2500X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Supplier",
"state": "FL",
"license": "OT9490",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT9490",
"primary": true
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "FL",
"license": "OT9490",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "FL",
"license": "OT9490",
"primary": false
},
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "FL",
"license": "OT9490",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.