MS. Johanna Whitney Povlock, OTR/L
MS. Johanna Whitney Povlock, OTR/L is an Occupational Therapist in Private Practice in Memphis, New York. Qualified in 1999, 27 years ago. Practices with Home Stretch Physical Therapy PC, a 14-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 27
- Licensed in
- NY
- In the registry since
- 2006
What do these letters mean?
- OTR/L — Occupational Therapist, Registered and Licensed
- An occupational therapist who is both nationally registered and state licensed.
Practice location Address checks out
7057 Kingdom RdMemphis, NY 13112-8702
Phone: (315) 569-5639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 010137-1 (NY) |
|---|
Record details
| NPI number | 1366551491 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OTR/L |
| Sole proprietor | No |
| NPI enumerated | August 30, 2006 |
| Last updated in NPPES | October 22, 2019 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1999 (27 years in practice) |
| Group practice | Home Stretch Physical Therapy Pc — 14 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |