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Kimberly Johnson

NPI 1215552757ActiveIndividual· Occupational Therapy Assistant· Fountain Inn, SC

Occupational Therapy Assistant in Fountain Inn, South Carolina, licensed in SC, with an NPI issued in June 2020. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.

Overview

NPI1215552757
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJun 10, 2020
Last updated in NPPESJun 10, 2020
Certified by providerJun 10, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary224Z00000X5077SC

About license numbers in NPPES

Exclusion screening

Possible match: verify before acting. The OIG list has a record with the same name in South Carolina, but that record carries no NPI, so it may be a different person or business.

Matched byName on OIG listExclusion typeExcluded sinceLocation
Name + stateKimberly M. Johnson · Inter Care Facility1128b1Dec 19, 2019Sumter, SC
ListResultDetails
HHS-OIG LEIE · Oct 9, 2026Possible (name)See above
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Occupational Therapy Assistant providers in Fountain Inn

All Occupational Therapy Assistant providers in South Carolina →