Individual provider Active NPI

Maiya Halasa

  • Occupational Therapist
  • Bristol, PA
National Provider Identifier
1225710874
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01140400 Issued in NJ
Practice address
67 Poplar Ave
Bristol, PA 19007-4514
Phone
(215) 630-1870
NPI assigned
Aug 3, 2023
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR01140400 NJ Primary
Occupational Therapist 225X00000X OC019372 PA

Addresses

Primary practice location

67 Poplar Ave
Bristol, PA 19007-4514

Mailing address

67 Poplar Ave
Bristol, PA 19007-4514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230930000103 NJ Practitioner - Occupational Therapist in Private Practice 7012361686 Reassigns benefits to 2 organizations
I20240122003427 PA Practitioner - Occupational Therapist in Private Practice 7012361686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

116 Washington Crossing Rd
Pennington, NJ 08534-2514
Phone (609) 581-2200

925 Chestnut St
FL 5
Philadelphia, PA 19107-4206
Phone (267) 339-3500

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Sep 11, 2023 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Occupational Therapist CurrentSince Jan 1, 2024 Accepting new patients
Atlantic Physical Therapy Center CurrentSince Jan 26, 2024 Accepting new patients
Atlantic Physical Therapy Center Occupational Therapist CurrentSince Jan 26, 2024 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Sep 11, 2023 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800

999 Route 73 N
Ste 401
Marlton, NJ 08053

116 Washington Crossing Rd
Pennington, NJ 08534
Phone (267) 339-7843

1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 722-8787

1372 Route 9
Bldg 2
Toms River, NJ 08755
Phone (732) 240-9296

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Organizations & group practices 6

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1225710874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 POPLAR AVE",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190074514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 POPLAR AVE",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190074514",
            "telephone_number": "215-630-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALASA",
        "first_name": "MAIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01140400",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC019372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.