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

Jacqueline L Johnson

Individual provider Occupational Therapy Assistant · NPI 1790632503

Jacqueline L Johnson is an Occupational Therapy Assistant in Ormond Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

35 Tomoka Meadows Blvd
Ormond Beach, FL 32174-4432
Phone: (386) 843-9885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 20517 (FL)

Record details

NPI number1790632503
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 11, 2026
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address35 Tomoka Meadows Blvd, Ormond Beach, FL 32174-4432

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