Individual provider Active NPI

Jessica Redden, OTR/L

  • Occupational Therapist
  • Lyndhurst, NJ
National Provider Identifier
1043918519
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01101600 Issued in NJ
Practice address
724 Ridge Rd
Lyndhurst, NJ 07071-3216
Phone
(201) 500-9812
NPI assigned
Feb 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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 46TR01101600 NJ Primary

Addresses

Primary practice location

724 Ridge Rd
Lyndhurst, NJ 07071-3216

Mailing address

724 Ridge Rd
Lyndhurst, NJ 07071-3216
Phone (201) 500-9812

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230526000015 NJ Practitioner - Occupational Therapist in Private Practice 7113383605 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holsman Physical Therapy and Wellness PCGroup PAC ID 2062666910, 24 clinicians

Practice addresses (Care Compare)

1985 Springfield Ave
Maplewood, NJ 07040-3435
Phone (862) 278-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holsman Physical Therapy and Wellness PC Occupational Therapist CurrentSince Aug 4, 2024 Accepting new patients
Home Therapy, LLC Occupational Therapist CurrentSince Jul 22, 2024 Accepting new patients
Holsman Physical Therapy and Rehabilitation PC Occupational Therapist CurrentSince Jul 22, 2024 Accepting new patients
Holsman Physical and Occupational Therapy PC Occupational Therapist CurrentSince Jul 22, 2024 Accepting new patients
Holsman Physical and Occupational Therapy, PC Occupational Therapist CurrentSince Jul 22, 2024 Accepting new patients
Holsman Physical Therapy and Wellness PC CurrentSince Jul 22, 2024 Accepting new patients
Rapha Wellness Center, PC PastSince Feb 1, 2023 Accepting new patients
Enjoy Jersey Services LLC Occupational Therapist PastSince Nov 17, 2024 Accepting new patients

Locations

408 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 433-0732

1700 State Rt 3
Clifton, NJ 07013
Phone (862) 249-4901

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

15-01 Broadway
Ste 12
Fair Lawn, NJ 07410
Phone (201) 355-5199

724 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 500-9812

1985 Springfield Ave
Maplewood, NJ 07040
Phone (701) 763-5010

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

Organizations & group practices 8

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": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1043918519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713216",
            "telephone_number": "201-500-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713216",
            "telephone_number": "201-500-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDEN",
        "first_name": "JESSICA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01101600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.