Individual
MRS. BRENNA STANLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
107063
TX
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
107063
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1637803-01
—
TX
05
—
1637803-02
—
TX
01
—
659657
BCBS #
TX
Enumeration date
08/04/2006
Last updated
02/16/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up