Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE JOHNSON, OTR/L
Active Sole ProprietorSHANE JOHNSON, OTR/L is a Occupational Therapist healthcare provider located in SURPRISE, Arizona. NPI 1548610041 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SURPRISE, AZ
Registration Details
- NPI Number
- 1548610041
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2016 (10.178015202681 yrs)
- Last Updated
- Jun 15, 2016
- License
-
2743 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18480 W PORT ROYALE LNSURPRISE, AZ, 853887678Browse AZ providers · Browse ZIP 85388
- Phone
- 6237765626
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in SURPRISE, AZ
| Name | Credential | NPI |
|---|---|---|
| MRS. DEBORAH BLAIR GYORFFY | OTR | 1083760870 |
| MR. AARON DAVID SHAMBLIN | OTR L | 1558401828 |
| CONNIE ANNE MILLER | OTRL | 1215077565 |
| MRS. NATALIE CORYN RIZZO | OTR | 1386766103 |
| MRS. LISA LYN HERRMANN | MS OTR L | 1114130754 |
| MRS. AMY MICHELLE SHUMYLO | OTR/L, BCP | 1184830978 |
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.