Individual provider · Type 1 NPI

Mattea Johnson, OTR/L

Occupational Therapist · Fargo, ND

NPI number 1033094792 Active

Practice location

3120 25th St S Ste N
Fargo, ND 58103-6110

Call (701) 205-4194 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2225 (ND)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1033094792

Mattea Johnson, OTR/L's National Provider Identifier is 1033094792, issued on Aug 11, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fargo, ND. The record was last updated on Aug 11, 2025.