Individual provider Active NPI

Jill E. Oksenhorn, OTR/L

  • Occupational Therapist
  • Edison, NJ
National Provider Identifier
1134697147
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00845500 Issued in NJ
Practice address
72 Route 27
Edison, NJ 08820-3986
Phone
(732) 662-9901
NPI assigned
Nov 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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 46TR00845500 NJ Primary

Addresses

Primary practice location

72 Route 27
Edison, NJ 08820-3986

Mailing address

8 Dickinson Rd
Basking Ridge, NJ 07920-4906
Phone (908) 625-9074

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190422000699 NJ Practitioner - Occupational Therapist in Private Practice 4486996527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgeway Care at Home LLCGroup PAC ID 6406198373, 39 clinicians

Practice addresses (Care Compare)

Bridgewater, NJ 08807
Phone (908) 722-7022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00845500NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carteret Comprehensive Medical Care,PC CurrentSince Nov 12, 2018 Accepting new patients
Bridgeway Care at Home, LLC Occupational Therapist CurrentSince May 1, 2022 Accepting new patients
Carteret Comprehensive Medical Care, P.C. CurrentSince Nov 12, 2018 Accepting new patients
Recover Pro Medical & Wellness Occupational Therapist Past Accepting new patients

Locations

270 State Route 28
Bridgewater, NJ 08807
Phone (908) 722-7022

72 State Route 27
Edison, NJ 08820
Phone (732) 662-9901

Organizations & group practices 4

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": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1134697147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DICKINSON RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079204906",
            "telephone_number": "908-625-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203986",
            "telephone_number": "732-662-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKSENHORN",
        "first_name": "JILL",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00845500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.