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

Kimberly Johnson

Individual provider Occupational Therapy Assistant · NPI 1215552757

Kimberly Johnson is an Occupational Therapy Assistant in Fountain Inn, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2020
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Practice location Address checks out

204 Shady Pines Ct
Fountain Inn, SC 29644-9785
Phone: (864) 408-9509
Fax: (864) 335-9036
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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 5077 (SC)

Record details

NPI number1215552757
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 10, 2020
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020
Mailing address204 Shady Pines Ct, Fountain Inn, SC 29644-9785

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