Active NPI
Michael Rory Johnston, OTR/L, CLWT
- Occupational Therapist
- Estherville, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 002407
- Practice address
- 826 N 8TH St
Estherville, IA 51334-1528 - Phone
- (712) 362-6118
- NPI assigned
- Jul 23, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 104623 | MN | |
| Occupational Therapist | 225X00000X | 002407 | IA | Primary |
Addresses
Primary practice location
826 N 8TH St
Estherville, IA 51334-1528
Mailing address
826 N 8TH St
Estherville, IA 51334-1528
Phone (712) 362-6118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200828001087 | IA | Practitioner - Occupational Therapist in Private Practice | 4880011352 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guthrie County Hospital
Practice addresses (Care Compare)
312 N Fremont St B
Stuart Rehab Clinic
Stuart, IA 50250-2083
Phone (515) 523-8049
710 N 12TH St
Guthrie Center, IA 50115-1549
Phone (641) 332-2201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002407 | IA | MD | Occupational Therapist |
| 104623 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie County Hospital | Current | Accepting new patients | |
| Guthrie County Hospital | Current | Accepting new patients | |
| Guthrie County Hospital | Past | Accepting new patients |
Locations
710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201
312 N Fremont St
Ste B
Stuart, IA 50250
Phone (515) 523-8049
312 N Fremont St
Stuart, IA 50250
Phone (515) 523-2187
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Panora, IA
- NPI 1962654921
-
- Rural Health Clinic/Center
- Stuart, IA
- NPI 1528349719
-
- Medicare Defined Swing Bed Hospital Unit
- Guthrie Center, IA
- NPI 1073696571
-
- Family Medicine Physician
- Adair, IA
- NPI 1710130588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1972080919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 N 8TH ST",
"city": "ESTHERVILLE",
"state": "IA",
"postal_code": "513341528",
"telephone_number": "712-362-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 N 8TH ST",
"city": "ESTHERVILLE",
"state": "IA",
"postal_code": "513341528",
"telephone_number": "712-362-6118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "MICHAEL",
"middle_name": "RORY",
"name_prefix": "Mr.",
"credential": "OTR/L, CLWT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-23",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "104623",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "002407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Estherville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.