Active NPI
Constance P. Johnson
- Occupational Therapist
- Philadelphia, PA
National Provider Identifier
1932413374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC001183L
- Practice address
- 6134 Wayne Ave
Apt. 2
Philadelphia, PA 19144-6110 - Phone
- (267) 625-4391
- NPI assigned
- Jul 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | OC001183L | PA | Primary |
Addresses
Primary practice location
6134 Wayne Ave
Apt. 2
Philadelphia, PA 19144-6110
Mailing address
6134 Wayne Avenue
Apt. 2
Philadelphia, PA 19144
Phone (267) 625-4391
Other names 1
- Ms. Constance Person Johnson
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 |
|---|---|---|---|
| OC001183L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1932413374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6134 WAYNE AVENUE",
"address_2": "APT. 2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19144",
"telephone_number": "267-625-4391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6134 WAYNE AVE",
"address_2": "APT. 2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191446110",
"telephone_number": "267-625-4391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CONSTANCE",
"middle_name": "P.",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC001183L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CONSTANCE",
"last_name": "JOHNSON",
"middle_name": "PERSON",
"prefix": "MS.",
"credential": "O.T.R.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.