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

Mrs. Brenna Stanley Johnson, OTR

Individual provider Specialist · NPI 1508874637

Mrs. Brenna Stanley Johnson, OTR is a Specialist in Nacogdoches, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

817 N Mound St
Nacogdoches, TX 75961
Phone: (936) 564-6907
Fax: (936) 564-0509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 817 N Mound St, Nacogdoches, TX 75961 — (936) 564-6907

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 107063 (TX)
Specialist Taxonomy 174400000X · Licence 107063 (TX)
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1508874637
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023

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