Organization Active NPI

Illuminated Recovery & Rehabilitation Services

  • Occupational Therapist
  • Westwood, NJ
National Provider Identifier
1013736578
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ILLUMINATED RECOVERY & REHABILITATION SERVICES
Practice address
20 Valley Ave Apt A18
Westwood, NJ 07675-3600
Phone
(302) 745-2256
NPI assigned
Oct 10, 2024
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Joao Victor Ramos Ferreira, OTR/LNPI 1578200879
Title
Owner
Phone
(302) 745-2256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

20 Valley Ave Apt A18
Westwood, NJ 07675-3600

Mailing address

20 Valley Ave Apt A18
Westwood, NJ 07675-3600
Phone (302) 745-2256

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1013736578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VALLEY AVE APT A18",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753600",
            "telephone_number": "302-745-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VALLEY AVE APT A18",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753600",
            "telephone_number": "302-745-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATED RECOVERY & REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "RAMOS FERREIRA",
        "authorized_official_first_name": "JOAO",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-745-2256",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.