Individual provider Active NPI

Priscilla Andrade, OTR/L

  • Occupational Therapist
  • Clifton, NJ
National Provider Identifier
1235729682
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
20 Mandeville Ave
Clifton, NJ 07013-1522
Phone
(972) 747-5442
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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 NJ Primary

Addresses

Primary practice location

20 Mandeville Ave
Clifton, NJ 07013-1522

Mailing address

20 Mandeville Ave
Clifton, NJ 07013-1522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210201000127 NJ Practitioner - Occupational Therapist in Private Practice 1951715085 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Physical Therapy at HomeGroup PAC ID 9133460934, 13 clinicians
Ultra Comprehensive Physical Therapy LLCGroup PAC ID 9537446570, 13 clinicians

Practice addresses (Care Compare)

220 Livingston St
Suite 108
Northvale, NJ 07647-1739
Phone (201) 564-7515

246 Clifton Ave
Clifton, NJ 07011-1900
Phone (862) 899-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Care Therapy Occupational Therapist CurrentSince Nov 14, 2025 Accepting new patients
Dynamic Physical Therapy at Home CurrentSince Mar 29, 2022 Accepting new patients
Ultra Comprehensive Physical Therapy LLC CurrentSince Jan 13, 2021 Accepting new patients
Metro Physical Therapy LLC Occupational Therapist CurrentSince Apr 15, 2025 Accepting new patients

Locations

246 Clifton Ave
Ste 5
Clifton, NJ 07011
Phone (862) 899-7900

246 Clifton Ave
Clifton, NJ 07011
Phone (862) 899-7900

634 Summit Ave
Jersey City, NJ 07306
Phone (201) 222-9370

220 Livingston St
Ste 108
Northvale, NJ 07647
Phone (201) 564-7515

800 E Gate Blvd
Garden City, NY 11530

Organizations & group practices 4

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": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1235729682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MANDEVILLE AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MANDEVILLE AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131522",
            "telephone_number": "972-747-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "PRISCILLA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.