Active NPI
Heather Ellen Johnson, O.T.
- Occupational Therapist
- Placentia, CA
National Provider Identifier
1871999847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14476
- Practice address
- 740 S. Placentia Ave, Suite 100
Placentia, CA 92870 - Phone
- (714) 656-8318
- Fax
- (714) 656-8320
- NPI assigned
- Nov 18, 2014
- Last updated
- Nov 18, 2014
- Sex
- Female
- 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 | 14476 | CA | Primary |
Addresses
Primary practice location
740 S. Placentia Ave, Suite 100
Placentia, CA 92870
Mailing address
740 S. Placentia Ave, Suite 100
Placentia, CA 92870
Phone (714) 656-8318
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxum Physical Therapy Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416268800000",
"number": "1871999847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 S. PLACENTIA AVE, SUITE 100",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "92870",
"telephone_number": "714-656-8318",
"fax_number": "714-656-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S. PLACENTIA AVE, SUITE 100",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "92870",
"telephone_number": "714-656-8318",
"fax_number": "714-656-8320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "HEATHER",
"middle_name": "ELLEN",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-18",
"last_updated": "2014-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "14476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.