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

Taylor Mackenzie Johnson, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1508547381

Taylor Mackenzie Johnson, OTD, OTR/L is an Occupational Therapist in Private Practice in Starkville, Mississippi. Qualified in 2023, 3 years ago. Practices with Performance Therapy LLC, a 84-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2023
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
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

1411 Highway 389
Starkville, MS 39759-8451
Phone: (662) 769-4888
Fax: (662) 338-5439
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 4061 (MS)

Record details

NPI number1508547381
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedJuly 26, 2023
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Performance Therapy Llc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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