Shane Johnson, OTR/L - Occupational Therapist in Surprise, AZ

Shane Johnson, OTR/L is a Occupational Therapist based in Surprise, Arizona. Shane Johnson is licensed to practice in Arizona (license number 2743) and his current practice location is 18480 W Port Royale Ln, Surprise, Arizona. He can be reached at his office (for appointments etc.) via phone at (623) 776-5626.

NPI number for Shane Johnson is 1548610041 and his current mailing address is 18480 W Port Royale Ln, Surprise, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548610041.

Contact Information

Shane Johnson, OTR/L
18480 W Port Royale Ln,
Surprise, AZ 85388-7678
(623) 776-5626
Not Available



Healthcare Provider's Profile

Full NameShane Johnson
GenderMale
SpecialityOccupational Therapist
Location18480 W Port Royale Ln, Surprise, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548610041
  • Provider Enumeration Date: 06/15/2016
  • Last Update Date: 06/15/2016

Medical Identifiers

Medical identifiers for Shane Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548610041NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 2743 (Arizona)Primary

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. Shane Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shane Johnson, OTR/L
18480 W Port Royale Ln,
Surprise, AZ 85388-7678

Ph: (623) 776-5626
Shane Johnson, OTR/L
18480 W Port Royale Ln,
Surprise, AZ 85388-7678

Ph: (623) 776-5626

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Occupational Therapist in Surprise, AZ

Jennifer Stuart,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 18510 N Parkview Pl, Surprise, AZ 85374
Phone: 623-546-8011    
Haley Cummings, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 13601 N Litchfield Rd Ste 124, Surprise, AZ 85379
Phone: 800-376-3440    
Nicole Pruett,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 15802 N Parkview Pl, Surprise, AZ 85374
Phone: 623-876-7000    
Brooke Cox, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 13601 N Litchfield Rd Ste 124, Surprise, AZ 85379
Phone: 623-322-8250    
Elizabeth M Beane, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 18343 W Saguaro Ln, Surprise, AZ 85388
Phone: 206-718-9671    
Michael Santiago, OT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 14815 W Bell Rd Ste 110, Surprise, AZ 85374
Phone: 623-777-1870    Fax: 623-777-1403
Serena Etling,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 13601 N Litchfield Rd Ste 124, Surprise, AZ 85379
Phone: 623-322-8250    

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