Resilient Roots OT LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

RESILIENT ROOTS OT LLC

Practice address

12 Remington Dr
Edison, NJ 08820-3635

Phone

(732) 236-3485

NPI assigned

Mar 27, 2026

Organization subpart

No

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

Authorized official

Name

McKenna Mary Dick, OTR/LNPI 1740129329

Title

Member/Part Owner

Phone

(732) 236-3485

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• McKenna Mary Dick, OTR/L

  • Occupational Therapist
  • Edison, NJ
  • NPI 1740129329
  NPD Authorized official

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1225977812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 COOKMAN AVE APT 225",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077127182",
            "telephone_number": "732-236-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 REMINGTON DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203635",
            "telephone_number": "732-236-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT ROOTS OT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "DICK",
        "authorized_official_first_name": "MCKENNA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "MEMBER/PART OWNER",
        "authorized_official_telephone_number": "732-236-3485",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Edison, NJ
• Providers in Edison, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.