Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andre Christopher Johnson

Individual provider Occupational Therapist · NPI 1568874063

Andre Christopher Johnson is an Occupational Therapist in Private Practice in Seattle, Washington. Qualified in 2024, 2 years ago. Practices as a sole proprietor and works from 4 locations. Licensed in Florida and Washington.

Years since qualifying
2
Licensed in
FL, WA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

3939 S Othello St Ste 101
Seattle, WA 98118-3505
Phone: (206) 987-7210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1500 116th Ave Ne, Bellevue, WA 98004-3829 — (425) 454-4644
  • 325 9th Ave, Seattle, WA 98104-2499 — (206) 744-3000
  • 4800 Sand Point Way Ne, Seattle, WA 98105-3901 — (866) 987-2000

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT61590546 (WA)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OTA 11467 (FL)

Record details

NPI number1568874063
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 2, 2014
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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