Active NPI
Quinne Johnson, OTR/L, OTD
- Occupational Therapist
- Fort Johnson, LA
National Provider Identifier
1972305357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 107578
- Practice address
- 1585 3Rd St
Fort Johnson, LA 71459-5102 - Phone
- (337) 531-3011
- NPI assigned
- Mar 26, 2025
- 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 | 107578 | MN | Primary |
Addresses
Primary practice location
1585 3Rd St
Fort Johnson, LA 71459-5102
Mailing address
1585 3Rd St
Fort Polk, LA 71459-5102
Phone (726) 780-2944
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 |
|---|---|---|---|
| 107578 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1972305357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1585 3RD ST",
"city": "FORT POLK",
"state": "LA",
"postal_code": "714595102",
"telephone_number": "726-780-2944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 3RD ST",
"city": "FORT JOHNSON",
"state": "LA",
"postal_code": "714595102",
"telephone_number": "337-531-3011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "QUINNE",
"credential": "OTR/L, OTD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-26",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MN",
"license": "107578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Johnson, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.