Individual provider Active NPI

Toni Mullin, OTR/L

  • Occupational Therapist
  • West Creek, NJ
National Provider Identifier
1023429107
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00623100 Issued in NJ
Practice address
1064 S Main St
West Creek, NJ 08092-2912
Phone
(609) 488-2650
Fax
(609) 488-2651
NPI assigned
May 12, 2014
Last updated
May 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00623100 NJ Primary

Addresses

Primary practice location

1064 S Main St
West Creek, NJ 08092-2912

Mailing address

254 Outboard Ave
Manahawkin, NJ 08050-1936
Phone (609) 312-8916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250718000948 NJ Practitioner - Occupational Therapist in Private Practice 5991211807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adaptive Home Therapy, Inc.Group PAC ID 4284522772, 26 clinicians

Practice addresses (Care Compare)

3 Plaza Dr
Suite 12
Toms River, NJ 08757-3765
Phone (732) 886-6996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Home Therapy, Inc. Occupational Therapist CurrentSince Jun 24, 2025 Accepting new patients
Anil K Gupta MD PA PastSince Jun 24, 2025 Accepting new patients
Shore to Advance Therapy Services Occupational Therapist PastSince Dec 10, 2013 Accepting new patients

Locations

3 Plaza Dr
Ste 12
Toms River, NJ 08757
Phone (732) 244-2299

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1023429107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 OUTBOARD AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080501936",
            "telephone_number": "609-312-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 S MAIN ST",
            "city": "WEST CREEK",
            "state": "NJ",
            "postal_code": "080922912",
            "telephone_number": "609-488-2650",
            "fax_number": "609-488-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "TONI",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00623100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Creek, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.

Verify at the official NPI Registry.