Individual provider Active NPI

Alexandra Sacco

  • Occupational Therapist
  • Freehold, NJ
National Provider Identifier
1033756309
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
210 Mounts Corner Dr
Freehold, NJ 07728-2547
Phone
(732) 414-2700
NPI assigned
Dec 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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 Primary

Addresses

Primary practice location

210 Mounts Corner Dr
Freehold, NJ 07728-2547

Mailing address

74 Sweetmans LN
Manalapan, NJ 07726-8342
Phone (908) 907-4989

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200820000332 NJ Practitioner - Occupational Therapist in Private Practice 5890111900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Physical Therapy Group PCGroup PAC ID 8426366741, 18 clinicians

Practice addresses (Care Compare)

55 -77 Schanck Rd
Suite B 17
Freehold, NJ 07728-2964
Phone (732) 414-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Physical Therapy Group PC CurrentSince Jul 8, 2024 Accepting new patients
Old Bridge Spine & Wellness Center,PA CurrentSince Mar 1, 2020 Accepting new patients

Locations

1503 Saint Georges Ave
Ste 201
Colonia, NJ 07067
Phone (732) 382-0880

210 Mounts Corner Dr
Freehold, NJ 07728
Phone (732) 333-6322

77 Schanck Rd
Ste B-17
Freehold, NJ 07728
Phone (201) 871-4000

144 State Route 34
Matawan, NJ 07747
Phone (732) 316-5895

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.

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1033756309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 SWEETMANS LN",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268342",
            "telephone_number": "908-907-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MOUNTS CORNER DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282547",
            "telephone_number": "732-414-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCO",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.