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

Ellen Johnson, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1073096608

Ellen Johnson, OTR/L is a Pediatric Occupational Therapist in Andover, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
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

1891 Station Pkwy NW
Andover, MN 55304-3341
Phone: (763) 755-4275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 105308 (MN)

Record details

NPI number1073096608
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedSeptember 10, 2018
Last updated in NPPESSeptember 10, 2018
Mailing address1891 Station Pkwy Nw, Andover, MN 55304-3341

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