Active NPI
Juliane Christina Gardner, OTR
- Physical Rehabilitation Occupational Therapist
- Lyndhurst, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 46TR00453400
- Practice address
- 1050 Wall St W
W Ste 200
Lyndhurst, NJ 07071-3621 - Phone
- (201) 729-0101
- NPI assigned
- Sep 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 46TR00453400 | NJ | Primary |
Addresses
Primary practice location
1050 Wall St W
W Ste 200
Lyndhurst, NJ 07071-3621
Mailing address
68 Pine Brook Rd
Chestnut Ridge, NY 10977-6620
Phone (845) 426-1942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Old Hook Rd
Harrington Park, NJ 07640-1744
Phone (551) 230-1543
5 Boroline Rd
Saddle River, NJ 07458-2343
Phone (856) 861-3548
644 Goffle Rd
Hawthorne, NJ 07506-3452
Phone (973) 435-7013
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Current | Accepting new patients | |
| Healthpro Heritage Rehab & Fitness, LLC | Current | Accepting new patients |
Locations
644 Goffle Rd
Hawthorne, NJ 07506
Phone (201) 689-7991
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Saddle River, NJ
- NPI 1689022295
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1023325677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 PINE BROOK RD",
"city": "CHESTNUT RIDGE",
"state": "NY",
"postal_code": "109776620",
"telephone_number": "845-426-1942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 WALL ST W",
"address_2": "W STE 200",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070713621",
"telephone_number": "201-729-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "JULIANE",
"middle_name": "CHRISTINA",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-02",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NJ",
"license": "46TR00453400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lyndhurst, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.