Amy Taylor Johnson, MS OTRL
Individual provider Active NPI Occupational Therapist · Schoolcraft, MI
NPI 1992008221 · NPPES record last updated Dec 8, 2010
Key facts
- NPI
- 1992008221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201001374 (MI)
- Practice address
- 4317 West U Avenue
Schoolcraft, MI 49087 - Phone
- (269) 806-9019
- Fax
- (269) 375-2266
- NPI assigned
- Dec 8, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201001374 | MI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201001374 | MI | Yes |
Addresses
Primary practice location
4317 West U Avenue
Schoolcraft, MI 49087
Mailing address
4317 West U Avenue
Schoolcraft, MI 49087
Phone (269) 806-9019
Other providers in Schoolcraft, MI
- Angie Heath
- Jeremy C Hills
- Homelife, Inc
- Homelife, Inc.
- Integrated Body Works LLC
- Norma Jean Julien
- Stacey A Lawrence
- Mais Chiropractic Clinic, PC
- Patricia Lea Mais
- Scott Anthony Mais
All providers in Schoolcraft, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.