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Johnson'S Functional Village, LLC

Pediatric Occupational Therapist in Madison, AL · enumerated 2021 · authorized official Kattia-Nyde Johnson, Occupational Therapist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184203010

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Registry record

Entity type Organization (Type 2)
Legal business name Johnson'S Functional Village, LLC
Practice address 8000 Madison Blvd Ste D102-208, Madison, AL, 35758
Fax (256) 464-3045
Enumeration date Apr 7, 2021
Last updated in NPPES Apr 7, 2021

Taxonomy & classification

225XP0200X Pediatric Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Kattia-Nyde Johnson
Title Occupational Therapist

Other identifiers

Identifier Type State Issuer
1225481781 Medicaid AL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Johnson'S Functional Village, LLC?
Johnson'S Functional Village, LLC is registered in NPPES as a Pediatric Occupational Therapist (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-07.