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

Mrs. Lanette M Johnson, OTR

Individual provider Occupational Therapist · NPI 1417126400

Mrs. Lanette M Johnson, OTR is an Occupational Therapist in Private Practice in Osceola, Wisconsin. Qualified in 1992, 34 years ago. Works from 2 locations. Licensed in Wisconsin.

Years since qualifying
34
Licensed in
WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

See every abbreviation used in this directory →

Practice location Address checks out

2600 65th Ave
Osceola, WI 54020-4370
Phone: (715) 294-2111
Fax: (715) 294-5758
Show map & directions

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

Additional practice locations (1)

  • 1501 Thompson St, Bloomer, WI 54724-1257 — (715) 838-5222

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 4827-26 (WI)
Occupational Therapist Taxonomy 225X00000X · Licence 1961-026 (WI)

Record details

NPI number1417126400
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedFebruary 25, 2008
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Not indicated

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