# MICHAJA PRENDERGAST JOHNSON, O.T.,P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740637081
- **Authorized official:** MRS. MICHAJA PRENDERGAST JOHNSON M.S., OTR/L (PRESIDENT)
- **Authorized official phone:** (810) 656-2863

## Contact information

- **Practice address:** 1280 W WASHINGTON BLVD, CHICAGO, IL 60607-1930
- **Practice address phone:** (810) 656-2863
- **Practice address fax:** (312) 624-8750
- **Mailing address:** 1280 W WASHINGTON BLVD, CHICAGO, IL 60607-1930
- **Mailing address phone:** (810) 656-2863
- **Mailing address fax:** (312) 624-8750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 056008197 | IL | Yes |

## Other

- **Enumeration date:** 05/17/2016
- **Last updated:** 05/17/2016