MS. DANETTE E JOHNSON (OTR) – Occupational Therapist, NPI 1740491190

MS. DANETTE E JOHNSON (OTR) is a healthcare provider. based in Kankakee, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. The NPI Number for MS. DANETTE E JOHNSON (OTR) is 1740491190

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MS. DANETTE E JOHNSON (OTR)
NPI
1740491190
Phone
(773) 988-2816
Address
3961 E STATE ROUTE 17
Enumeration Date
25 May 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8475822104
Graduation Year
2001 (25 years ago)
PAC ID
7012168636
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20121108000020
Address ID
IL606112615CH737XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for MS. DANETTE E JOHNSON (OTR)

  • IL 17, Kankakee County, Illinois, United States

    KANKAKEE, IL 609018129

    Phone: (773) 988-2816

    Type: Mailing

  • South Maryland Avenue, Hyde Park, Chicago, Hyde Park Township, Cook County, Illinois, 60615, United States

    CHICAGO, IL 606371426

    Phone: (773) 702-1687

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121108000020IOccupational Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes42939$0
97763Follow-up training in the use of orthopedic device or artificial arm, leg and/or trunk, each 15 minutes3723$0
97165Evaluation for occupational therapy, typically 30 minutes3029$0
View full utilization report →

Insurance plans in this area (ZIP 60901)

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Provider's Procedures

MS. DANETTE E JOHNSON (OTR) performs procedures in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYIL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes24457

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
A N E S T H E S I O L O G YMI
Nurse PractitionerIL

Reviews

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Frequently asked questions

Where can patients find MS. DANETTE E JOHNSON (OTR)'s NPI?
You can confirm MS. DANETTE E JOHNSON (OTR) with NPI 1740491190; it appears in the national provider directory.
Is MS. DANETTE E JOHNSON (OTR) currently active in the NPI registry?
CMS-published data lists MS. DANETTE E JOHNSON (OTR) as an active registrant.
Can you summarize MS. DANETTE E JOHNSON (OTR)'s specialty in plain language?
Clinically, the directory lists MS. DANETTE E JOHNSON (OTR) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Does MS. DANETTE E JOHNSON (OTR) practice in Illinois?
You will see Kankakee, Illinois on file for MS. DANETTE E JOHNSON (OTR) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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