Daniel James Mitchell, OTR
Individual provider Active NPI Occupational Therapist · Andover, NJ
NPI 1275809790 · NPPES record last updated Mar 7, 2015
Key facts
- NPI
- 1275809790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 46TR00174800 (NJ)
- Practice address
- 99 Mulford Rd
Andover, NJ 07821-2600 - Phone
- (973) 383-6200
- NPI assigned
- Mar 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00174800 | NJ | MD | Occupational Therapist |
| OC-004588-L | PA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00174800 | NJ | Yes |
| Occupational Therapist | 225X00000X | OC-004588-L | PA |
Addresses
Primary practice location
99 Mulford Rd
Andover, NJ 07821-2600
Mailing address
164 West Shore Trail
Sparta, NJ 07871-1624
Phone (973) 729-8989
Other providers in Andover, NJ
- Katherine Kostuk
- Katherine Matthews
- McGovern Behavioral Healthcare
- Andrew Augustus McGovern
- Susan McNally
- Melvyn Alfred Moskowitz
- Jocelyn Michelle Mull
- Andrea Elizabeth Odian
- Peace by Piece NJ, Inc
- Phileo Health Care Solutions LLC
All providers in Andover, NJ · Occupational Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.