Individual provider Active NPI

Julia Anne Pecoraro, OTR/L

  • Hand Occupational Therapist
  • Upper Saddle River, NJ
National Provider Identifier
1033951280
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
46TR01182600 Issued in NJ
Practice address
558 E Crescent Ave Ste 203
Upper Saddle River, NJ 07458-1827
Phone
(201) 633-2100
NPI assigned
Jun 10, 2024
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 46TR01182600 NJ Primary

Addresses

Primary practice location

558 E Crescent Ave Ste 203
Upper Saddle River, NJ 07458-1827

Mailing address

558 E Crescent Ave Ste 203
Upper Saddle River, NJ 07458-1827
Phone (201) 633-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703001738 NJ Practitioner - Occupational Therapist in Private Practice 1951844885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

170 Schuyler Ave
Suite 3
North Arlington, NJ 07031-5425
Phone (201) 991-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Current Accepting new patients
Ivyrehab Network, Inc. Hand CurrentSince Jun 17, 2024 Accepting new patients
Ivyrehab Network Inc CurrentSince Jun 17, 2024 Accepting new patients

Locations

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

170 Schuyler Ave
Ste 3
North Arlington, NJ 07031
Phone (201) 991-3800

558 E Crescent Ave
Ste 203
Upper Saddle River, NJ 07458
Phone (201) 633-2100

525 Central Ave
Ste A
Westfield, NJ 07090
Phone (908) 654-4252

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1033951280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 E CRESCENT AVE STE 203",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581827",
            "telephone_number": "201-633-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 E CRESCENT AVE STE 203",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581827",
            "telephone_number": "201-633-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECORARO",
        "first_name": "JULIA",
        "middle_name": "ANNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NJ",
            "license": "46TR01182600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Saddle River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.