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

Celese Johnson, OTR/L

Individual provider Behavior Technician · NPI 1386183853

Celese Johnson, OTR/L is an Occupational Therapist in Private Practice in Chicago, Illinois. Qualified in 2019, 7 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

5100 S Dorchester Ave
Chicago, IL 60615-4118
Phone: (773) 966-5039
Fax: (872) 813-4175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056.013821 (IL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1386183853
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedFebruary 17, 2017
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020
Mailing address4807 Victoria Chase Ct, Jacksonville, FL 32257-5206

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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