Amy Taylor Johnson, MS OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201001374 Issued in MI

Practice address

4317 West U Avenue
Schoolcraft, MI 49087

Phone

(269) 806-9019

Fax

(269) 375-2266

NPI assigned

Dec 8, 2010

Last updated

Dec 8, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Body Works LLC

  • Occupational Therapist
  • Schoolcraft, MI
  • NPI 1679996169
  Authorized official Same address or phone

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1992008221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 WEST U AVENUE",
            "city": "SCHOOLCRAFT",
            "state": "MI",
            "postal_code": "49087",
            "telephone_number": "269-806-9019",
            "fax_number": "269-375-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 WEST U AVENUE",
            "city": "SCHOOLCRAFT",
            "state": "MI",
            "postal_code": "49087",
            "telephone_number": "269-806-9019",
            "fax_number": "269-375-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMY",
        "middle_name": "TAYLOR",
        "name_prefix": "Ms.",
        "credential": "MS OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Heath
• Jeremy C Hills
• Homelife, Inc
• Homelife, Inc.
• Integrated Body Works LLC
• Norma Jean Julien
• Stacey A Lawrence, LMSW
• Mais Chiropractic Clinic, PC
• Patricia Lea Mais
• Scott Anthony Mais, D.C.

• Occupational Therapist in Schoolcraft, MI
• Providers in Schoolcraft, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.