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

Tatum Johnson

Individual provider Occupational Therapist · NPI 1124971437

Tatum Johnson is an Occupational Therapist in Private Practice in Grand Haven, Michigan. Qualified in 2025, 1 year ago. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2026
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Practice location Address checks out

16925 Ability Way
Grand Haven, MI 49417-9325
Phone: (616) 935-7606
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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 5201014496 (MI)

Record details

NPI number1124971437
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 17, 2026
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address16925 Ability Way, Grand Haven, MI 49417-9325

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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