Kjersten Johnson, MOT, OTR/L

Occupational Therapist in Grayslake, IL. Individual provider (NPI-1).

NPI number1225847718

StatusActive

Last updated in NPPESDec 30, 2024

Details

NPI: 1225847718
Entity type: Individual (NPI-1)
Name: Kjersten Johnson
Credential: MOT, OTR/L
Sex: Female
Sole proprietor: No
Enumeration date: Dec 30, 2024
Certification date: Dec 30, 2024
Last updated: Dec 30, 2024

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
225X00000X	Occupational Therapist	056.015608	IL	Yes

Practice location

1170 E Belvidere Rd Ste 108
Grayslake, IL 60030-2034

Phone 847-543-4800 · Fax 847-543-4297

Mailing address

1170 E Belvidere Rd Ste 108
Grayslake, IL 60030-2034

Phone 847-543-4800 · Fax 847-543-4297

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 Occupational Therapist providers in Grayslake, IL

All 22 Occupational Therapist providers in Grayslake · All 762 providers in Grayslake

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