Michelle Hilary Roth, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00287900 Issued in NJ

Practice address

120 County Road
Suite 101
Tenafly, NJ 07670

Phone

(201) 894-5800

Fax

(201) 894-5990

NPI assigned

Jun 22, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• The Occupational Therapy Center Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tenafly, NJ
  • NPI 1952702573
  NPD (past)

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1124400551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 COUNTY ROAD",
            "address_2": "SUITE 101",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "07670",
            "telephone_number": "201-894-5800",
            "fax_number": "201-894-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 COUNTY ROAD",
            "address_2": "SUITE 101",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "07670",
            "telephone_number": "201-894-5800",
            "fax_number": "201-894-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "MICHELLE",
        "middle_name": "HILARY",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00287900",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00287900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritu Suri MD, LLC
• Pamela Ritzler
• Stephanie Denise Rivera-Segarra, M.D.
• Rochelle Glatter LCSW, LLC
• Nada Giulia Rossovich-Barzelatto
• Sandra Rousso, RN, HWNC-BC
• RPP on-Site Psychology PC
• Carol Rubin, RDN
• Simritpal Sahota, PMHNP-BC
• Emily Sakairi, PHARMD, RPH

• Occupational Therapist in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.