Kelly Roehl, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09172000 Issued in NJ

Practice address

10 Franklin Tpke
Mahwah, NJ 07430-1304

Phone

(973) 518-0361

NPI assigned

Sep 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Next Gen Wellness Services LLC

  • Internal Medicine Physician
  • Mahwah, NJ
  • NPI 1790510766
  NPD

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

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1225855331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 MACARTHUR BLVD UNIT 723",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074307065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FRANKLIN TPKE",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301304",
            "telephone_number": "973-518-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEHL",
        "first_name": "KELLY",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-21",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09172000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Druce, D.D.S., P.a.
• Sylvia Ann Ripps, MS
• Roaring Whisper Speech Therapy PLLC
• Michaela Robbins, NP
• Cristina Rodier, OTR
• Rooted in You Company
• Jeffrey Rose, PT
• Rpjmr Pharmacy Inc
• Leo Victor Russ, DDS
• Leon S Rutkowski, MD

• Occupational Therapy Assistant in Mahwah, NJ
• Providers in Mahwah, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; 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.