Individual provider Active NPI

Jodie Dashore, OTD, OTR/L

  • Neurorehabilitation Occupational Therapist
  • Marlboro, NJ
National Provider Identifier
1245674688
Registry record updated Apr 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
46TR0019680 Issued in NJ
Practice address
11 Burlington Dr
Marlboro, NJ 07746-2609
Phone
(732) 772-1989
Fax
(732) 333-4526
NPI assigned
Apr 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X 46TR0019680 NJ Primary

Addresses

Primary practice location

11 Burlington Dr
Marlboro, NJ 07746-2609

Mailing address

11 Burlington Dr
Marlboro, NJ 07746-2609
Phone (732) 772-1989

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
46TR0019680NJMDNeurorehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1367020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367020800000",
    "number": "1245674688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BURLINGTON DR",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462609",
            "telephone_number": "732-772-1989",
            "fax_number": "732-333-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BURLINGTON DR",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462609",
            "telephone_number": "732-772-1989",
            "fax_number": "732-333-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASHORE",
        "first_name": "JODIE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-27",
        "last_updated": "2013-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NJ",
            "license": "46TR0019680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2013; 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.