Allison Botte
Individual provider Active NPI Occupational Therapist · Bergenfield, NJ
NPI 1124413083 · NPPES record last updated Mar 30, 2015
Key facts
- NPI
- 1124413083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 46TR00635300 (NJ)
- Practice address
- 25 S Paula Dr
Lapaula Manor
Bergenfield, NJ 07621-3511 - Phone
- (877) 407-3422
- NPI assigned
- Mar 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 26
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthpro Heritage Rehab and Fitness LLC
Practice addresses (Care Compare)
57 Mount Bethel Rd
Warren, NJ 07059-5606
Phone (908) 206-7105
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150416000563 | NJ | Practitioner - Occupational Therapist in Private Practice | 1355669698 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00635300 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excellent Homecare of NJ LLC | Current |
Accepting new patients | |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current |
Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
57 Mount Bethel Rd
Warren, NJ 07059
Phone (908) 206-7105
40 Galesi Dr
Ste 5B
Wayne, NJ 07470
Phone (973) 837-8722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00635300 | NJ | Yes |
Addresses
Primary practice location
25 S Paula Dr
Lapaula Manor
Bergenfield, NJ 07621-3511
Mailing address
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
Other providers in Bergenfield, NJ
- David Marc Blass
- Macie Leigh Bliss
- Nicolas Bochi
- Bodyworks Rehab LLC
- Borough of Bergenfield
- Bradley Dental Group LLC
- Sarah Bram
- Debora Braunstein
- Stephanie J Brenner
- Kelly Brigley
All providers in Bergenfield, NJ · Occupational Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.