Michelle Andre Barbagallo, O.T.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

46TR00009400 Issued in NJ

Practice address

150 New Providence Rd
Mountainside, NJ 07092-2590

Phone

(908) 233-3720

NPI assigned

Aug 24, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1003009820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 FOOTHILL RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072236",
            "telephone_number": "908-429-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NEW PROVIDENCE RD",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922590",
            "telephone_number": "908-233-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBAGALLO",
        "first_name": "MICHELLE",
        "middle_name": "ANDRE",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00009400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Philip A Baseil, R.PH.
• Anna Malia Beckwith, MD
• Annemarie Berry, DPT
• Ayesha Bhonsle, DPT
• Allison M Biede, LAC

• All providers in Mountainside, NJ
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.