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

Map and Direction




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

Reviews and Comments


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Phone: 623-777-1870    Fax: 623-777-1403
Serena Etling,
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Mrs. Deborah Blair Gyorffy, OTR
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Medicare: Not Enrolled in Medicare
Practice Location: 17999 W Surprise Farms Loop South, Surprise, AZ 85388
Phone: 623-876-7388    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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