Individual provider · Type 1 NPI

Jacqueline L. Johnson

Occupational Therapy Assistant · Ormond Beach, FL

NPI number 1790632503 Active

Practice location

35 Tomoka Meadows Blvd
Ormond Beach, FL 32174-4432

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X20517 (FL)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1790632503

Jacqueline L. Johnson's National Provider Identifier is 1790632503, issued on Mar 11, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Ormond Beach, FL. The record was last updated on Mar 11, 2026.