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

Individual provider Physical Rehabilitation Occupational Therapist · NPI 1669164992

Nicole Marie Johnson, OTR/L is a Physical Rehabilitation Occupational Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
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

7676 Hazard Center Dr Ste 500
San Diego, CA 92108-4508
Phone: (800) 585-1299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Rehabilitation Occupational Therapist (primary) Taxonomy 225XP0019X · Licence 23462 (CA)

Record details

NPI number1669164992
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMay 24, 2023
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023

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