Individual provider Active NPI

Joanne Skawinski, COTA

  • Occupational Therapy Assistant
  • Fair Lawn, NJ
National Provider Identifier
1205163136
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
46TAO9000600 Issued in NJ
Practice address
23-18 Ellington Rd
Fair Lawn, NJ 07410-2907
Phone
(201) 321-1092
NPI assigned
Nov 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 46TAO9000600 NJ Primary

Addresses

Primary practice location

23-18 Ellington Rd
Fair Lawn, NJ 07410-2907

Mailing address

23-18 Ellington Rd
Fair Lawn, NJ 07410-2907
Phone (201) 321-1092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46TAO9000600NJMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1205163136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23-18 ELLINGTON RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102907",
            "telephone_number": "201-321-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-18 ELLINGTON RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102907",
            "telephone_number": "201-321-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAWINSKI",
        "first_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TAO9000600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.