Individual provider Active NPI

Latrenda Charde Zabaleta, OTR/L

  • Occupational Therapist
  • Jersey City, NJ
National Provider Identifier
1053955013
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00583400 Issued in NJ
Practice address
568 Communipaw Ave
Jersey City, NJ 07304-4402
Phone
(201) 309-0198
NPI assigned
Nov 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 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 46TR00583400 NJ Primary

Addresses

Primary practice location

568 Communipaw Ave
Jersey City, NJ 07304-4402

Mailing address

568 Communipaw Ave
Jersey City, NJ 07304-4402
Phone (201) 309-0198

Other names 1

  • Mrs. Latrenda Charde Thomas Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46TR00583400NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Milestones for Small Discoveries Occupational Therapist CurrentSince Mar 1, 2020 Accepting new patients

Organizations & group practices 1

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": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1053955013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 COMMUNIPAW AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073044402",
            "telephone_number": "201-309-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 COMMUNIPAW AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073044402",
            "telephone_number": "201-309-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABALETA",
        "first_name": "LATRENDA",
        "middle_name": "CHARDE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-03",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00583400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATRENDA",
            "last_name": "THOMAS",
            "middle_name": "CHARDE",
            "prefix": "MRS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.