JOHNNY WILLIAMS-RAY DEFROE III OTR/L
NPI 1821609264
Occupational Therapist in Stockton, CA

Active since August 10, 2020
6940 PACIFIC AVE, STOCKTON, CA 95207(209) 477-4817 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Johnny Williams-ray Defroe Iii Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNNY WILLIAMS-RAY DEFROE III OTR/L (NPI 1821609264) is an individual occupational therapist in Stockton, California, licensed in California (21479) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1821609264
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameJOHNNY WILLIAMS-RAY DEFROE IIICredential: OTR/L
Location Address6940 PACIFIC AVEStockton, CA 95207-2602
Mailing Address941 W 47th StLos Angeles, CA 90037-2948 · (310) 780-9062
Sole ProprietorYes
Enumeration DateAugust 10, 2020
NPPES CertifiedAugust 10, 2020
NPI 1821609264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in CA · 21479
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
6940 PACIFIC AVE, Stockton, CA 95207

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
6940 PACIFIC AVE
STOCKTON, CA 95207
Physical Therapy Assistant
6940 PACIFIC AVE
STOCKTON, CA 95207
Physical Therapy Assistant
6940 PACIFIC AVE
STOCKTON, CA 95207
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
6940 PACIFIC AVE
STOCKTON, CA 95207
Occupational Therapist
6940 PACIFIC AVE
STOCKTON, CA 95207

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 Johnny Defroe's NPI number?

The NPI number for Johnny Defroe is 1821609264. It was assigned to this individual provider in the NPPES registry on August 10, 2020.

Where is Johnny Defroe located?

Johnny Defroe practices at 6940 Pacific Ave, Stockton, CA 95207. The listed phone number is (209) 477-4817.

What is Johnny Defroe's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Johnny Defroe was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.