Individual provider Active NPI

Larissa Mae Fox

  • Occupational Therapist
  • Voorhees, NJ
National Provider Identifier
1104478460
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00878100 Issued in NJ
Practice address
113 Route 73
Voorhees, NJ 08043-9573
Phone
(856) 809-3500
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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 46TR00878100 NJ Primary

Addresses

Primary practice location

113 Route 73
Voorhees, NJ 08043-9573

Mailing address

655 S Willow St Ste 128
Manchester, NH 03103-5717
Phone (800) 995-2673

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201117002270 NJ Practitioner - Occupational Therapist in Private Practice 8224449525 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Therapy LLC Occupational Therapist CurrentSince Apr 15, 2025 Accepting new patients
Therastart LLC CurrentSince Jul 27, 2024 Accepting new patients
Fox Rehabilitation Services Inc Occupational Therapist CurrentSince May 1, 2022 Accepting new patients
Esd PT OT & SLP PLLC Occupational Therapist CurrentSince Nov 1, 2021 Accepting new patients
Mobile Therapy Services, Inc. Occupational Therapist CurrentSince Jul 10, 2025 Accepting new patients
Ignite Rehab Corp Occupational Therapist CurrentSince Jan 15, 2023 Accepting new patients
Link Home Services of NJ LLC CurrentSince Oct 15, 2021 Accepting new patients
Coastal Urology Associates PA PastSince Apr 8, 2021 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

1003 Main Ave
Clifton, NJ 07011
Phone (201) 344-2499

180 Sylvan Ave
Ste 401
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

516 Sylvan Ave
Englewood Cliffs, NJ 07632

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

800 E Gate Blvd
Garden City, NY 11530

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1104478460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 S WILLOW ST STE 128",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035717",
            "telephone_number": "800-995-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ROUTE 73",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439573",
            "telephone_number": "856-809-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "LARISSA",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00878100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.