Individual provider Active NPI

Lauren Sutphen, OTR/L

  • Occupational Therapist
  • Freehold, NJ
National Provider Identifier
1245074160
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01050600 Issued in NJ
Practice address
3338 US 9
Freehold, NJ 07728-9148
Phone
(732) 780-1111
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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 46TR01050600 NJ Primary

Addresses

Primary practice location

3338 US 9
Freehold, NJ 07728-9148

Mailing address

14 Dawn Dr
Port Reading, NJ 07064-1404
Phone (732) 510-9170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826000056 NJ Practitioner - Occupational Therapist in Private Practice 6406395219 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Occupational Therapist CurrentSince Feb 1, 2025 Accepting new patients
Advanced Wellness CurrentSince Jul 1, 2024 Accepting new patients
Monmouth Spine and Wellness LLC CurrentSince Nov 4, 2024 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

3338 US Highway 9
Freehold, NJ 07728
Phone (732) 780-1111

342 Route 9
#1
Manalapan, NJ 07726
Phone (732) 252-5555

17 N Main St
Marlboro, NJ 07746
Phone (732) 431-2155

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

Organizations & group practices 3

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1245074160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DAWN DR",
            "city": "PORT READING",
            "state": "NJ",
            "postal_code": "070641404",
            "telephone_number": "732-510-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3338 US 9",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077289148",
            "telephone_number": "732-780-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTPHEN",
        "first_name": "LAUREN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01050600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.