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

Individual provider Occupational Therapy Assistant · NPI 1760049191

Kimberly M Johnson, COTA/L is an Occupational Therapy Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2019.

Licensed in
AZ
In the registry since
2019
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

7080 N 19th Ave
Phoenix, AZ 85021-8585
Phone: (602) 601-2401
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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 7020 (AZ)

Record details

NPI number1760049191
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedMay 21, 2019
Last updated in NPPESMay 21, 2019

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