Active NPI
Anzhelika Ihnatenko, OTR/L
- Occupational Therapist
- Eatontown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR01099900
- Practice address
- 1 Main St Ste 505
Eatontown, NJ 07724-3903 - Phone
- (732) 493-3100
- NPI assigned
- Dec 12, 2022
- Last updated
- Dec 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR01099900 | NJ | Primary |
Addresses
Primary practice location
1 Main St Ste 505
Eatontown, NJ 07724-3903
Mailing address
1 Main St Ste 505
Eatontown, NJ 07724-3903
Phone (347) 500-0281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16 Sumner PL
Brooklyn, NY 11206-4110
Phone 71895188002102
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01099900 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahava Medical and Rehabilitation Center, LLC | Current | Accepting new patients | |
| Mobile Therapy Services, Inc. | Occupational Therapist | Current | Accepting new patients |
| Anchor Health Homecare Services Inc | Occupational Therapist | Current | Accepting new patients |
| Prime Rehabilitation Services, Inc. | Occupational Therapist | Past | Accepting new patients |
Locations
1 Main St
Ste 505
Tinton Falls, NJ 07724
16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500
2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108
46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300
958 Nostrand Ave
Brooklyn, NY 11225
Phone (347) 423-9031
8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Multi-Specialty Clinic/Center
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- NPI 1356071237
Occupational Therapist
-
- Physical Therapist
- Ocean, NJ
- NPI 1801279054
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1235840018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MAIN ST STE 505",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077243903",
"telephone_number": "347-500-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MAIN ST STE 505",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077243903",
"telephone_number": "732-493-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IHNATENKO",
"first_name": "ANZHELIKA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR01099900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.