SHANE JOHNSON (NPI# 1548610041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548610041 |
| Entity Type | Individual |
| Full Name | SHANE JOHNSON |
| Credential | OTR/L |
| Practice Address |
18480 W Port Royale Ln Surprise AZ 85388-7678 |
| Practice Telephone | 6237765626 |
| Mailing Telephone | 6237765626 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2743 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740723303 | Shane Johnson | Counselor | 3447 Derby Pl, New Orleans, LA 70119-2013 | 2016-11-29 |
| 1508258567 | Shane Johnson | Licensed Practical Nurse | 927 Smith Ave Sw, Canton, OH 44706-1468 | 2015-02-28 |
| 1356803431 | Shane Johnson | Student in an Organized Health Care Education/Training Program | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2019-04-05 |
| 1992053334 | Shane R Johnson | Pharmacist | 560 Gage Blvd, Suite 102, Richland, WA 99352-8650 | 2012-08-15 |
| 1306172507 | Shane P Johnson | Pharmacist | 208 E Jefferson St, Spring Green, WI 53588-8002 | 2009-10-22 |
| 1356523070 | Shane Johnson | Naturopath | 8010 E Mcdowell Rd Ste 111, Scottsdale, AZ 85257-3868 | 2007-12-04 |
| 1508923731 | Shane Johnson | Optometrist | 5403 W 88th Ave, Sp #45, Westminster, CO 80031-3084 | 2007-01-03 |
| 1275512543 | Shane Reed Johnson | Physician Assistant | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2006-01-13 |
| Street Address |
18480 W PORT ROYALE LN |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85388-7678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410887 | Kids Dentists of Surprise and Orthodontics, LLP | Dentist | 15180 N. Cotton Lane, Suite 104, Surprise, AZ 85388 | 2019-07-25 |
| 1588148803 | Moahk Behavioral Home LLC | Assisted Living Facility | 16645 West Central Street, Surprise, AZ 85388 | 2018-09-21 |
| 1881118867 | Haja Sankoh | Behavior Technician | 16645 West Central St, Surprise, AZ 85388 | 2017-08-01 |
| 1235516675 | Benjamin J Hegenbarth | Family Medicine | 14981 Nth 174 Dr., Surprise, AZ 85388 | 2015-05-06 |
| 1447644521 | Urgent Care Centers of Arizona, LLC | Clinic/Center | 16840 W. Waddell Road, Suite 110, Surprise, AZ 85388 | 2015-03-26 |
| 1548512239 | We Care Medical Supply Plus | Durable Medical Equipment & Medical Supplies | 17317 W. Banff Lane, Surprise, AZ 85388 | 2012-10-05 |
| 1376871095 | Rebecca Kimberly Adamoli | Nurse's Aide | 17999 N. Surprise Farms Loop South, Surprise, AZ 85388 | 2009-11-19 |
| 1417281395 | Tracy Dunbar | Respite Care | 18245 West Port Royale Ln., Surprise, AZ 85388 | 2009-09-25 |
| 1467696617 | Eileen Georgina Soltis | Registered Nurse | 17359 W. Surprise Farms Loop N, Surprise, AZ 85388 | 2009-04-30 |
| 1538306360 | Wholistic Integrative Caring Network LLC | Nurse Practitioner | 16278 N. 164th Lane, Surprise, AZ 85388 | 2009-01-15 |
| Find all providers in zip 85388 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536471 | Renee Whitmire | Occupational Therapist | 17825 W Sierra Montana Loop, Surprise, AZ 85388-7880 | 2020-07-23 |
| 1326515149 | Amber Dawn Nivens | Occupational Therapist | 14239 W Bell Rd Ste 110, Surprise, AZ 85374-2470 | 2018-10-30 |
| 1023545456 | Haley Cummings | Occupational Therapist | 13601 N Litchfield Rd Ste 124, Surprise, AZ 85379-4260 | 2017-05-16 |
| 1306291307 | Premere Rehab LLC | Occupational Therapist | 15048 W Young St, Surprise, AZ 85374-7484 | 2016-04-27 |
| 1679934004 | Raymond Brent Robinson | Occupational Therapist | 13601 N Litchfield Rd, Surprise, AZ 85379-4260 | 2016-03-12 |
| 1134536337 | Samantha Erin Kogler | Occupational Therapist | 16968 W Bell Rd # D401, Surprise, AZ 85374-8943 | 2014-07-20 |
| 1750701769 | Sasha Noel Perry | Occupational Therapist | 14911 N 177th Ave, Surprise, AZ 85388-8741 | 2014-04-17 |
| 1861752230 | Sue Ann Guidry | Occupational Therapist | 16572 W Greenway Rd, Suite 101 & 103, Surprise, AZ 85388-2183 | 2012-05-20 |
| 1982962338 | Rudolpho Gomez | Occupational Therapist | 15821 N 165th Ln, Surprise, AZ 85388-1144 | 2012-04-23 |
| 1386921427 | Lilias Mary Handwerk | Occupational Therapist | 14775 West Yorkshire Road, Surprise, AZ 85374 | 2011-11-03 |
| Find all providers in SURPRISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.