CD Community-Based OT Services, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CD COMMUNITY-BASED OT SERVICES, LLC

Doing business as

Blue Dot: Social & Community Wellness

Practice address

500 Main St Unit 102
Belmar, NJ 07719-2175

Phone

(732) 865-6974

NPI assigned

Oct 26, 2022

Last updated

Jun 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christen Marissa D'Amico, OTR/LNPI 1174249379

Title

Occupational Therapist, Owner

Phone

(732) 865-6974

Specialties & licenses 1

Addresses

Other names 1

• Blue Dot: Social & Community Wellness Doing business as

Tax ID family

Blue Dot Social Community Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CD Community-Based OT Services, LLC

  dba Blue Dot: Social & Community Wellness

  • Occupational Therapist
  • Asbury Park, NJ
  • NPI 1548002017
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christen Damico, OTR/L

  • Occupational Therapist
  • Red Bank, NJ
  • NPI 1174249379
  NPD Authorized official

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1275250573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644A COOKMAN AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077127104",
            "telephone_number": "732-865-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN ST UNIT 102",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192175",
            "telephone_number": "732-865-6974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "644A Cookman Ave",
            "address_purpose": "LOCATION",
            "city": "Asbury Park",
            "state": "NJ",
            "postal_code": "077127104",
            "country_code": "US",
            "telephone_number": "732-865-6974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CD COMMUNITY-BASED OT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "D'AMICO",
        "authorized_official_first_name": "CHRISTEN",
        "authorized_official_middle_name": "MARISSA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "732-865-6974",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Dot: Social & Community Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Caitlin Jean Cavanaugh, M.S., OTR/L
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• Suzanne Marie Cerabone, RD
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• Nicole Cirlincione
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• Occupational Therapist in Belmar, NJ
• Providers in Belmar, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.