Individual provider Active NPI

Bridget Peterson, OTR/L

  • Occupational Therapist
  • Pitman, NJ
National Provider Identifier
1164766150
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00530900 Issued in NJ
Practice address
535 N Oak Ave
Pitman, NJ 08071-1025
Phone
(856) 286-1431
NPI assigned
Nov 15, 2012
Last updated
Feb 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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 46TR00530900 NJ Primary

Addresses

Primary practice location

535 N Oak Ave
Pitman, NJ 08071-1025

Mailing address

23 Orion Way
Sewell, NJ 08080-1920
Phone (609) 206-3882

Other names 1

  • Miss Bridget Dornblaser Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250603001470 NJ Practitioner - Occupational Therapist in Private Practice 6800305749 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00530900NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gloucester County Special Services School District Occupational Therapist CurrentSince Mar 31, 2025 Accepting new patients
Robert J Romalino PT, PC PastSince Aug 9, 2001 Accepting new patients

Locations

1474 Tanyard Rd
Sewell, NJ 08080
Phone (856) 278-7829

1474 Tanyard Rd
Ste E102
Sewell, NJ 08080
Phone (856) 681-6137

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1164766150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ORION WAY",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801920",
            "telephone_number": "609-206-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N OAK AVE",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711025",
            "telephone_number": "856-286-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRIDGET",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00530900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "DORNBLASER",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pitman, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.