Individual provider Active NPI

Denise Graybill, OTR

  • Occupational Therapist
  • Pomona, NJ
National Provider Identifier
1083207112
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00031300 Issued in NJ
Practice address
61 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone
(609) 652-7000
NPI assigned
Feb 19, 2021
Last updated
Feb 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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 46TR00031300 NJ Primary

Addresses

Primary practice location

61 W Jimmie Leeds Rd
Pomona, NJ 08240-9102

Mailing address

4416 Privateer Rd
Brigantine, NJ 08203-1318
Phone (609) 335-9892

Other names 1

  • Denise McCauley Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816001250 NJ Practitioner - Occupational Therapist in Private Practice 7719950997 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fam Rehabilitation LLCGroup PAC ID 8123472271, 8 clinicians

Practice addresses (Care Compare)

4 E Jimmie Leeds Rd
Suite 10
Galloway, NJ 08205-4465
Phone (609) 964-7901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00031300NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Exercise Angels LLC CurrentSince Sep 1, 2023 Accepting new patients
Cross Training Rehabilitation, LLC CurrentSince Mar 17, 2021 Accepting new patients
Fam Rehabilitation LLC CurrentSince Nov 15, 2023 Accepting new patients

Locations

329 E Jimmie Leeds Rd
Ste 103
Galloway, NJ 08205
Phone (609) 964-7901

4 E Jimmie Leeds Rd
Ste 10
Galloway, NJ 08205
Phone (609) 752-3576

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": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1083207112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 PRIVATEER RD",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031318",
            "telephone_number": "609-335-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 W JIMMIE LEEDS RD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082409102",
            "telephone_number": "609-652-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYBILL",
        "first_name": "DENISE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00031300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "MCCAULEY",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pomona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.