DERON JOHNSON
NPI 1366858458
Occupational Therapist in Rudy, AR
About Deron Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERON JOHNSON (NPI 1366858458) is an individual occupational therapist in Rudy, Arkansas, licensed in Arkansas (2559) and active in the NPI registry since July 2014. He is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deron Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Deron Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glenview, IL 60026
- Reassigned Medicare billing, Arkansas enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Deron Johnson's NPI number?
The NPI number for Deron Johnson is 1366858458. It was assigned to this individual provider in the NPPES registry on July 9, 2014.
Where is Deron Johnson located?
Deron Johnson practices at 3918 Pecan Grove Rd, Rudy, AR 72952. The listed phone number is (479) 632-6337.
What is Deron Johnson's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Deron Johnson enrolled in Medicare?
Yes. Deron Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Deron Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deron Johnson reassigns Medicare benefits to Select Rehabilitation, LLC (Glenview, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deron Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Deron Johnson was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.