Individual provider Active NPI

Pamela G Caine, OTR/L

  • Occupational Therapist
  • Englewood, NJ
National Provider Identifier
1245508704
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00567400 Issued in NJ
Practice address
401 S Van Brunt St
The Focus Center
Englewood, NJ 07631-4604
Phone
(201) 894-5800
Fax
(201) 894-5990
NPI assigned
Dec 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00567400 NJ Primary
Occupational Therapist 225X00000X 017054 NY

Addresses

Primary practice location

401 S Van Brunt St
The Focus Center
Englewood, NJ 07631-4604

Mailing address

14 Pilgrim CT
Tenafly, NJ 07670-3132
Phone (201) 755-5830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46TR00567400NJMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1245508704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PILGRIM CT",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076703132",
            "telephone_number": "201-755-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S VAN BRUNT ST",
            "address_2": "THE FOCUS CENTER",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314604",
            "telephone_number": "201-894-5800",
            "fax_number": "201-894-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAINE",
        "first_name": "PAMELA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00567400",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.