Heather Marie Johnson, DT
Developmental Therapist in Champaign, IL. Individual provider (NPI-1).
NPI number1174053946
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1174053946
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Heather Marie Johnson
- Credential
- DT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2017
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
1304 W Bradley AveChampaign, IL 61821-2035
Phone 217-356-9176 · Fax 217-356-9851
Mailing address
1304 W. Bradley Ave.Champaign, IL 61821
Phone 217-356-9176 · Fax 217-356-9851
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Developmental Therapist providers in Champaign, IL
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- Julie Denise Grygiel, M.ED.NPI 1770790529
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- Nichole KitchensNPI 1336818715
- Deena LoveNPI 1326267212
- Rachel MateykaNPI 1598338295
- Adrienne MorrisonNPI 1619296084
- Teresa O'Connor, DEVELOPMENTAL THERAPNPI 1659600674
All 20 Developmental Therapist providers in Champaign · All 3,018 providers in Champaign
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