Mrs Courtney Jillian Johnson, OTR/L in Salt Lake City, UT - Medicare Occupational Therapist Provider

Mrs Courtney Jillian Johnson, OTR/L is a medicare enrolled "Occupational Therapist" provider in Salt Lake City, Utah. Her current practice location is 1430 E 4500 S, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (216) 772-1030.

Mrs Courtney Jillian Johnson is licensed to practice in Utah (license number 12151308-4201) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144964628.

Contact Information

	Mrs Courtney Jillian Johnson, OTR/L
	1430 E 4500 S, Salt Lake City, UT 84117-4208
	(216) 772-1030
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Courtney Jillian Johnson
Gender	Female
Speciality	Occupational Therapist
Location	1430 E 4500 S, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144964628
Provider Enumeration Date: 04/21/2022
Last Update Date: 09/01/2023

Medicare PECOS Information:

PECOS PAC ID: 0547648321
Enrollment ID: I20220607001953

Medical Identifiers

Medical identifiers for Mrs Courtney Jillian Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144964628	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	Secondary
225X00000X	Occupational Therapist	12151308-4201 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Courtney Jillian Johnson allows following entities to bill medicare on her behalf.

Provider Name	Select Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20230411000750

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Courtney Jillian Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Courtney Jillian Johnson, OTR/L Po Box 1806, Durham, NC 27702-1806 Ph: (216) 772-1030	Mrs Courtney Jillian Johnson, OTR/L 1430 E 4500 S, Salt Lake City, UT 84117-4208 Ph: (216) 772-1030

Reviews and Comments

Occupational Therapist in Salt Lake City, UT

Adam Porter, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-585-2119
Aloe Otte, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955
Kyle Fairchild, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 E Bishop Federal Ln, Salt Lake City, UT 84115 Phone: 801-487-7557
Mark Powell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-268-7111
Steven Wayne Newton, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Bishop Federal Lane, Salt Lake City, UT 84115 Phone: 801-493-8903 Fax: 801-468-6843
Jeff Mackay, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303
Kathryn Roof, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303

Mrs Courtney Jillian Johnson, OTR/L - Medicare Occupational Therapist in Salt Lake City, UT