Individual provider Active NPI

Adam Freitag, OT

  • Occupational Therapist
  • Denville, NJ
National Provider Identifier
1225528458
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00829400 Issued in NJ
Practice address
109 Route 46
Denville, NJ 07834-2776
Phone
(973) 625-0744
Fax
(973) 625-0741
NPI assigned
May 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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 46TR00829400 NJ Primary

Addresses

Primary practice location

109 Route 46
Denville, NJ 07834-2776

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200

Other practice location 1

7 Cedar Grove Ln Ste 39
Somerset, NJ 08873-1331
Phone (732) 469-5680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180531001434 NJ Practitioner - Occupational Therapist in Private Practice 6305101957 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians
Professional Occupational and Physical Therapy, PLLCGroup PAC ID 3779873401, 497 clinicians

Practice addresses (Care Compare)

109 Route 46
Denville, NJ 07834-2776
Phone (973) 625-0744

700 Passaic Ave
West Caldwell, NJ 07006-6408
Phone (973) 575-7576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network, Inc. Occupational Therapist CurrentSince Mar 23, 2020 Accepting new patients
Ivyrehab Network Inc. Occupational Therapist Current Accepting new patients
Ivyrehab Network Inc Occupational Therapist CurrentSince Mar 23, 2020 Accepting new patients
Metro Physical Therapy LLC Occupational Therapist CurrentSince Sep 15, 2025 Accepting new patients

Locations

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

95 Madison Ave
Ste A11
Morristown, NJ 07960
Phone (973) 435-0066

800 E Gate Blvd
Garden City, NY 11530

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Organizations & group practices 5

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": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1225528458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ROUTE 46",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342776",
            "telephone_number": "973-625-0744",
            "fax_number": "973-625-0741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Cedar Grove Ln Ste 39",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "NJ",
            "postal_code": "088731331",
            "country_code": "US",
            "telephone_number": "732-469-5680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREITAG",
        "first_name": "ADAM",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00829400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.