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

Individual provider Occupational Therapist · NPI 1912385733

Nicole E Johnson, OTR/L is an Occupational Therapist in Munster, Indiana. Licensed in Illinois and Indiana. Registered with an NPI since 2015.

Licensed in
IL, IN
In the registry since
2015
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1650 45th Ave Ste 2D
Munster, IN 46321-3962
Phone: (219) 836-4921
Fax: (219) 836-4923
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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 31005874A (IN)
Occupational Therapist Taxonomy 225X00000X · Licence 056.010995 (IL)

Record details

NPI number1912385733
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMay 13, 2015
Last updated in NPPESSeptember 30, 2019
Mailing addressPo Box 1381, Crown Point, IN 46308-1381

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