Individual provider Active NPI

Valerie Pena, OT

  • Occupational Therapist
  • Burlington, NJ
National Provider Identifier
1235336678
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
465TR00128900 Issued in NJ
Practice address
261 Connecticut Dr
Suite 5
Burlington, NJ 08016-4177
Phone
(800) 950-6066
NPI assigned
Jun 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 465TR00128900 NJ Primary

Addresses

Primary practice location

261 Connecticut Dr
Suite 5
Burlington, NJ 08016-4177

Mailing address

111 W Hill Rd
Colonia, NJ 07067-3816

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701001451 NJ Practitioner - Occupational Therapist in Private Practice 3173924826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manalapan Spine Care and RehabilitationGroup PAC ID 4587600523, 4 clinicians

Practice addresses (Care Compare)

94 Bridge Plaza Dr
Manalapan, NJ 07726-1700
Phone (908) 592-5889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
465TR00128900NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manalapan Spine Care and Rehabilitation CurrentSince Jun 28, 2021 Accepting new patients
Jeb Rehabilitation PC Past Accepting new patients

Locations

94 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 972-5900

Organizations & group practices 2

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235336678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W HILL RD",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 CONNECTICUT DR",
            "address_2": "SUITE 5",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164177",
            "telephone_number": "800-950-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "VALERIE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "465TR00128900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.