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NPI Code Detail

MEDICARE: LAURA MARIE JOHNSON OTR/L

MEDICARE: LAURA MARIE JOHNSON OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942786470
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA MARIE JOHNSON OTR/L
Provider Business Mailing Address
First Line : 6135 W 120TH ST APT 101
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66209-3738
Country : US
Telephone Number : 479-244-5239
Fax Number :
Provider Business Practice Location Address
First Line : 7000 W 121ST ST STE 110
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66209-2011
Country : US
Telephone Number : 913-912-2174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2018
Last Update Date : 05/09/2025

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