IndividualActive
Gina Roberson-Johnson, MOT, OTR/L
NPI 1750570388 · Occupational Therapist · Edgewater, FL
Provider details
- NPI number
- 1750570388
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOT, OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- OT12846 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
501 N Ridgewood Ave Ste B
Edgewater, FL 32132-1627
Phone: (386) 795-7563
Fax: (866) 442-7849
Approximate (ZIP-level) locationGet directions
Mailing address
501 N Ridgewood Ave Ste B
Edgewater, FL 32132-1627
Additional practice locations (1)
- 1400 Volco RdEdgewater, FL 32141-6986Phone: (386) 795-7563
Registry dates
- Enumerated
- 2007-10-19
- Last updated
- 2020-06-22
- Certified
- 2020-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.