Individual provider Active NPI

Dorothy Ladyzhensky, OTD

  • Occupational Therapist
  • Riverdale, NJ
National Provider Identifier
1265189294
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01047300 Issued in NJ
Practice address
7 Newark Pompton Tpke
Riverdale, NJ 07457-1142
Phone
(973) 831-1100
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 46TR01047300 NJ
Occupational Therapist 225X00000X 46TR01047300 NJ Primary

Addresses

Primary practice location

7 Newark Pompton Tpke
Riverdale, NJ 07457-1142

Mailing address

62 Beard St
Staten Island, NY 10314-6241
Phone (718) 883-9266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322000048 NJ Practitioner - Occupational Therapist in Private Practice 4688069032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Physical Therapy Group PCGroup PAC ID 8426366741, 18 clinicians

Practice addresses (Care Compare)

55 -77 Schanck Rd
Suite B 17
Freehold, NJ 07728-2964
Phone (732) 414-6060

77 Schanck Rd
Freehold, NJ 07728-2964

77 Schanck Rd B
Suite 17
Freehold, NJ 07728-2964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Physical Therapy Group PC CurrentSince Nov 22, 2022 Accepting new patients
Cornerstone Chiropractic & Rehabilitation Center, LLC CurrentSince Mar 14, 2022 Accepting new patients
Cornerstone Medical Procedures LLC CurrentSince Mar 13, 2022 Accepting new patients

Locations

45A Washington Ave
Carteret, NJ 07008
Phone (732) 969-3480

77 Schanck Rd
Ste B-17
Freehold, NJ 07728
Phone (201) 871-4000

25 E Willow St
Ste A
Millburn, NJ 07041

7 Newark Pompton Tpke
Riverdale, NJ 07457
Phone (973) 831-1100

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": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1265189294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BEARD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146241",
            "telephone_number": "718-883-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571142",
            "telephone_number": "973-831-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADYZHENSKY",
        "first_name": "DOROTHY",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NJ",
            "license": "46TR01047300",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01047300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.

Verify at the official NPI Registry.