Active NPI
Bridget Peterson, OTR/L
- Occupational Therapist
- Pitman, NJ
National Provider Identifier
1164766150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00530900
- Practice address
- 535 N Oak Ave
Pitman, NJ 08071-1025 - Phone
- (856) 286-1431
- NPI assigned
- Nov 15, 2012
- Last updated
- Feb 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00530900 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gloucester County Special Services School District | Occupational Therapist | Current | Accepting new patients |
| Robert J Romalino PT, PC | Past | 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.
-
dba CRESS Therapy Services
- Occupational Therapist
- Sewell, NJ
- NPI 1649948126
-
dba Advanced Physical Therapy of South Jersey
- Specialist
- Williamstown, NJ
- NPI 1467628149
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
- Maria Nikolich, D.M.D.
- Carmel M Odonnell, M.D.
- Krista Parks, LMT
- Niyati Patel, DMD
- Katherine Perez-Rivera, PH.D.
- Christopher Shawn Pinkerton, P.T.
- Pitman Dental Inc (Pitman Dental)
- Pitman Manor Inc (United Methodist Communities at Pitman)
- Pitman Manor, Inc. (United Methodist Communities at Pitman)
- Pitman Pharmacy Inc (Pitman Pharmacy)
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.