Mekell Alexzandra Johnson, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056014493 Issued in IL

Practice address

1400 Brookdale Rd
Naperville, IL 60563-2126

Phone

(630) 416-6565

NPI assigned

Oct 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1633132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1982376489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7935 S WHIPPLE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521628",
            "telephone_number": "773-915-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BROOKDALE RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632126",
            "telephone_number": "630-416-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MEKELL",
        "middle_name": "ALEXZANDRA",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-02",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056014493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Chicago",
            "address_1": "1400 Brookdale Rd",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605632126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaitlan Johnson
• Karin M Johnson, PSYD
• Kaytlyn Marie Johnson
• Kristie M. Johnson, LCPC CADC CADP
• Laura McMurray Johnson, M.A. CCC
• Tracee Johnson
• Deann Margaret Johnston, LCSW
• Mary T Johnston, RN
• Joms LLC
• Aniyah Jones

• Occupational Therapist in Naperville, IL
• Providers in Naperville, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; 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.