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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICK JASON JOHNSON, COTA

Active Sole Proprietor

NICK JASON JOHNSON, COTA is a Occupational Therapy Assistant healthcare provider located in AUGUSTA, Georgia. NPI 1124404108 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · AUGUSTA, GA

Registration Details

NPI Number
1124404108
Provider Type
Individual
Gender
Male
NPI Issued
Aug 3, 2015 (11.025574799739 yrs)
Last Updated
Aug 19, 2021
Licenses
3478 (SC)
16716 (FL)
Sole Proprietor
Yes

Practice Information

Address
799 DONE ROVEN RD
AUGUSTA, GA, 309069757
Browse GA providers · Browse ZIP 30906
Phone
7067552902
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in AUGUSTA, GA

Name Credential NPI
THOMAS OBERRY 1457390643
MRS. SHANNON MARIE MATTA COTA 1376637074
MELISSA STARK COTA 1386891513
MR. JAMES WALKER PENLAND JR. COTA/L 1962731950
ALEXIS VONTICE SMALLEY 1396089066
WALTRINA CHANCE COTA 1659617272
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.