IndividualActive
Glendora Johnson
NPI 1780142323 · Occupational Therapy Assistant · Lady Lake, FL
Provider details
- NPI number
- 1780142323
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 16893 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% 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
423 Highway 466 Apt 23203
Lady Lake, FL 32159-6315
Phone: (352) 978-3003
Approximate (ZIP-level) locationGet directions
Mailing address
423 Highway 466 Apt 23203
Lady Lake, FL 32159-6315
Registry dates
- Enumerated
- 2019-03-02
- Last updated
- 2019-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.