IndividualActive
Ezra Johnson, COTA
NPI 1558333096 · Other Technician · Camp Lejeune, NC
Provider details
- NPI number
- 1558333096
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- COTA
- Sex
- Male
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Naval Hospital Camp Lejeune
100 Brewster Blvd
Camp Lejeune, NC 28547
Phone: (910) 450-4750
Approximate (ZIP-level) locationGet directions
Mailing address
8 Carver Rd
Jacksonville, NC 28540-7010
Registry dates
- Enumerated
- 2006-02-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.