Provider Demographics
NPI:1356323695
Name:JOHNSON, APRIL DAWN (OT)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:DAWN
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MISS
Other - First Name:APRIL
Other - Middle Name:DAWN
Other - Last Name:KEIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:818 NEWTOWN RD
Mailing Address - Street 2:DIANNE D EPPLEIN & ASSOCIATES
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1116
Mailing Address - Country:US
Mailing Address - Phone:757-473-8016
Mailing Address - Fax:757-473-3580
Practice Address - Street 1:818 NEWTOWN RD
Practice Address - Street 2:DIANNE D EPPLEIN & ASSOCIATES
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-1116
Practice Address - Country:US
Practice Address - Phone:757-473-8016
Practice Address - Fax:757-473-3580
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119002894224Z00000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA496651Medicaid
35062OtherOPTIMA
4980093OtherVIRGINIA PREMIER HEALTH
11230493OtherCAQH
VA9116460Medicaid
436887OtherANTHEM BLUE CROSS
6400313OtherUNITED HEALTH CARE
7077367OtherAETNA
VA9116460Medicaid