Individual provider Active NPI

Gabriella Santiago, OTR/L, MSOT

  • Occupational Therapist
  • Toms River, NJ
National Provider Identifier
1194494740
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01015700 Issued in NJ
Practice address
1868 Hooper Ave Unit C
Toms River, NJ 08753-8175
Phone
(732) 818-1999
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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 46TR01015700 NJ Primary

Addresses

Primary practice location

1868 Hooper Ave Unit C
Toms River, NJ 08753-8175

Mailing address

1868 Hooper Ave Unit C
Toms River, NJ 08753-8175
Phone (732) 818-1999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211013001666 NJ Practitioner - Occupational Therapist in Private Practice 2668870197 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01015700NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Wellness Rehabilitation Center LLC Occupational Therapist CurrentSince Sep 7, 2021 Accepting new patients
Menon Regenerative Institute LLC Past Accepting new patients

Locations

1868 Hooper Ave
Toms River, NJ 08753
Phone (732) 255-2373

1868 Hooper Ave
Ste C
Toms River, NJ 08753
Phone (732) 818-1999

1868 Hooper Ave
Unit C
Toms River, NJ 08753
Phone (732) 818-1999

1868 Hooper Ave
Ste 3
Toms River, NJ 08753
Phone (732) 255-3877

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1194494740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 HOOPER AVE UNIT C",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538175",
            "telephone_number": "732-818-1999",
            "fax_number": "732-286-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 HOOPER AVE UNIT C",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538175",
            "telephone_number": "732-818-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "GABRIELLA",
        "credential": "OTR/L, MSOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01015700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.