Individual provider Active NPI

Jennifer Kaitlyn Irlich, OTR-L

  • Occupational Therapist
  • Sewell, NJ
National Provider Identifier
1053939595
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00923000 Issued in NJ
Practice address
570 Egg Harbor Rd Ste C4C
Sewell, NJ 08080-2359
Phone
(609) 267-9400
NPI assigned
Jul 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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 46TR00923000 NJ Primary

Addresses

Primary practice location

570 Egg Harbor Rd Ste C4C
Sewell, NJ 08080-2359

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

239 Hurffville Crosskeys Rd Ste 470
Sewell, NJ 08080-4009
Phone (856) 983-4263

Other practice location 2

300 W Route 38 Ste C
Moorestown, NJ 08057-3424
Phone (609) 267-9400

Other names 1

  • Miss Jennifer Kaitlyn Mellish Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929001415 NJ Practitioner - Occupational Therapist in Private Practice 6204255045 Reassigns benefits to 1 organization

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
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

239 Hurffville Crosskeys Rd
Sewell, NJ 08080-4002

3242 Route 206
Bordentown, NJ 08505-4517

570 Egg Harbor Rd
Sewell, NJ 08080-2359

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00923000NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jul 19, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 19, 2023 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

4 Eves Dr
Ste A100
Marlton, NJ 08053
Phone (810) 790-4701

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

300 W Route 38
Moorestown, NJ 08057
Phone 60926794001224

300 W Route 38
Ste C
Moorestown, NJ 08057

614 Lambs Rd
Unit C
Pitman, NJ 08071
Phone (856) 256-0051

570 Egg Harbor Rd
Ste C4C
Sewell, NJ 08080

570 Egg Harbor Rd
Ste C4
Sewell, NJ 08080
Phone (856) 256-0051

200 Bowman Dr
Ste 100
Voorhees, NJ 08043

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": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1053939595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 EGG HARBOR RD STE C4C",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802359",
            "telephone_number": "609-267-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 470",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804009",
            "country_code": "US",
            "telephone_number": "856-983-4263",
            "fax_number": "856-341-8496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W Route 38 Ste C",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573424",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRLICH",
        "first_name": "JENNIFER",
        "middle_name": "KAITLYN",
        "name_prefix": "Mrs.",
        "credential": "OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00923000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MELLISH",
            "middle_name": "KAITLYN",
            "prefix": "MISS",
            "credential": "OTR-L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.