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

Individual provider Occupational Therapy Assistant · NPI 1063779379

Booker Johnson, COTA is an Occupational Therapy Assistant in Irving, Texas. Licensed in Maryland. Registered with an NPI since 2012.

Licensed in
MD
In the registry since
2012
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

5001 Statesman Dr
Irving, TX 75063-2414
Phone: (469) 524-1506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence A00393 (MD)

Record details

NPI number1063779379
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedApril 12, 2012
Last updated in NPPESApril 12, 2012
Mailing address5001 Statesman Dr, Irving, TX 75063-2414

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