Individual provider Active NPI

Jacob Betkowski, OTR

  • Occupational Therapist
  • Red Bank, NJ
National Provider Identifier
1093472334
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01028500 Issued in NJ
Practice address
525 State Route 35
Red Bank, NJ 07701-5037
Phone
(848) 216-0765
NPI assigned
Nov 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 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 46TR01028500 NJ Primary

Addresses

Primary practice location

525 State Route 35
Red Bank, NJ 07701-5037

Mailing address

1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Phone (877) 532-7837

Other identifiers 1

IdentifierTypeStateIssuer
46TR01028500OtherNJLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211209003037 NJ Practitioner - Occupational Therapist in Private Practice 7416347208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Be Healthy LLCGroup PAC ID 1951796622, 94 clinicians

Practice addresses (Care Compare)

150 Tices LN
East Brunswick, NJ 08816-2015
Phone (732) 724-2588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01028500NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Be Healthy LLC Occupational Therapist CurrentSince Jan 16, 2023 Accepting new patients
Old Bridge Spine & Wellness Center,PA CurrentSince Nov 1, 2021 Accepting new patients
All Be Healthy LLC Physical Rehabilitation CurrentSince Jan 16, 2023 Accepting new patients

Locations

1455 Broad St
Ste 250
Bloomfield, NJ 07003
Phone (201) 817-6982

150A Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553

150 Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553

2-22 Banta Pl
Fair Lawn, NJ 07410
Phone (201) 509-8600

210 Mounts Corner Dr
Freehold, NJ 07728
Phone (732) 333-6322

144 State Route 34
Matawan, NJ 07747
Phone (732) 316-5895

300 Perrine Rd
Ste 315
Old Bridge, NJ 08857
Phone (732) 264-8282

300 Perrine Rd
Ste 305
Old Bridge, NJ 08857
Phone (732) 316-5895

765 Route 10
Ste 101
Randolph, NJ 07869
Phone (973) 983-3709

525 State Route 35
Tinton Falls, NJ 07701
Phone (732) 747-6833

1311 Morris Ave
Union, NJ 07083
Phone (908) 686-8446

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1093472334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST STE 250",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033066",
            "telephone_number": "877-532-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 STATE ROUTE 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015037",
            "telephone_number": "848-216-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETKOWSKI",
        "first_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-22",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01028500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "46TR01028500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

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