Individual provider Active NPI

Michael Tranquilli, MA, OTR/L

  • Neurorehabilitation Occupational Therapist
  • Chatham, NJ
National Provider Identifier
1043391071
Registry record updated Feb 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
46TR00193700 Issued in NJ
Practice address
4 Wexford Rd
Chatham, NJ 07928-1517
Phone
(973) 494-3499
Fax
(973) 443-4111
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X 46TR00193700 NJ Primary
Ergonomics Occupational Therapist 225XE1200X 46TR00193700 NJ
Human Factors Occupational Therapist 225XH1300X 46TR00193700 NJ
Hand Occupational Therapist 225XH1200X 46TR00193700 NJ

Addresses

Primary practice location

4 Wexford Rd
Chatham, NJ 07928-1517

Mailing address

4 Wexford Rd
Chatham, NJ 07928-1517
Phone (973) 494-3499

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
46TR00193700NJMDErgonomics Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488067200000",
    "number": "1043391071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WEXFORD RD",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079281517",
            "telephone_number": "973-494-3499",
            "fax_number": "973-443-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WEXFORD RD",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079281517",
            "telephone_number": "973-494-3499",
            "fax_number": "973-443-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANQUILLI",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MA, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2017-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NJ",
            "license": "46TR00193700",
            "primary": true
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "NJ",
            "license": "46TR00193700",
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "NJ",
            "license": "46TR00193700",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NJ",
            "license": "46TR00193700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2017; 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.