Julie Marie Johnson, COTA/L
Occupational Therapist, Neurorehabilitation in Concord, CA. Individual provider (NPI-1).
NPI number1730839366
StatusActive
Last updated in NPPESMar 26, 2022
Details
- NPI
- 1730839366
- Entity type
- Individual (NPI-1)
- Name
- Julie Marie Johnson
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2022
- Certification date
- Mar 24, 2022
- Last updated
- Mar 26, 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 |
|---|---|---|---|---|
| 225XN1300X | Occupational Therapist, Neurorehabilitation | 2646 | CA | Yes |
Other names
- Julie Marie Shively (Former Name)
Practice location
3806 Clayton RdConcord, CA 94521-2516
Phone 925-689-2266
Mailing address
2555 Flosden Rd Spc 66American Canyon, CA 94503-3922
Phone 707-980-7321
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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 Neurorehabilitation Occupational Therapist providers in Concord, CA
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