Jeaneane Elizabeth Johnson, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1108 Issued in TN

Practice address

140 Brimley Dr
Fredericksburg, VA 22406-5103

Phone

(540) 757-5432

NPI assigned

Oct 9, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1891047221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 RADIUS WAY",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029039",
            "telephone_number": "901-237-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BRIMLEY DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224065103",
            "telephone_number": "540-757-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEANEANE",
        "middle_name": "ELIZABETH",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "1108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas R Johnson, MD
• Earl Dean Johnson
• Fred Allen Johnson, PTA
• Guinevere Johnson, DO
• Jamie Johnson
• Jessica Johnson, M.S. CCC-SLP
• Joe Thomas Johnson, LCSW
• Rebecca Ann Johnson, BCABA
• Rod S. Johnson, MD
• Ronald Harvey Johnson, M.D.

• Occupational Therapy Assistant in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.