Individual provider Active NPI

Rachel Dionna Portee

  • Occupational Therapist
  • West Orange, NJ
National Provider Identifier
1023717253
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01067100 Issued in NJ
Practice address
1094 Smith Manor Blvd
West Orange, NJ 07052-4227
Phone
(609) 845-4776
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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 46TR01067100 NJ Primary

Addresses

Primary practice location

1094 Smith Manor Blvd
West Orange, NJ 07052-4227

Mailing address

1094 Smith Manor Blvd
West Orange, NJ 07052-4227
Phone (609) 845-4776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46TR01067100NJMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1023717253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 SMITH MANOR BLVD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524227",
            "telephone_number": "609-845-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 SMITH MANOR BLVD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524227",
            "telephone_number": "609-845-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTEE",
        "first_name": "RACHEL",
        "middle_name": "DIONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01067100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.