Individual provider Active NPI

Christine Hertha Harasink, OTR/L

  • Occupational Therapist
  • Marlton, NJ
National Provider Identifier
1124872353
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01094500 Issued in NJ
Practice address
1 Holtec Dr Ste 203
Marlton, NJ 08053-3404
Phone
(856) 874-7800
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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 46TR01094500 NJ Primary

Addresses

Primary practice location

1 Holtec Dr Ste 203
Marlton, NJ 08053-3404

Mailing address

334 Colonial Dr
Wenonah, NJ 08090-1665
Phone (856) 264-2626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240711002926 NJ Practitioner - Occupational Therapist in Private Practice 0143765313 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Care Specialty Group PC CurrentSince May 1, 2024 Accepting new patients

Locations

26 Main St
Edison, NJ 08837
Phone (609) 385-2622

1 Holtec Dr
Ste 203
Marlton, NJ 08053
Phone (856) 874-7800

Organizations & group practices 1

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1124872353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 COLONIAL DR",
            "city": "WENONAH",
            "state": "NJ",
            "postal_code": "080901665",
            "telephone_number": "856-264-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOLTEC DR STE 203",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533404",
            "telephone_number": "856-874-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARASINK",
        "first_name": "CHRISTINE",
        "middle_name": "HERTHA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01094500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.