Raina Michelle Koterba

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

46TR00337600 Issued in NJ

Practice address

163 E Main St
Little Falls, NJ 07424

Phone

(973) 223-6661

NPI assigned

Aug 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Faith Therapy Consulting, LLC

  • Pediatrics Physician
  • Clifton, NJ
  • NPI 1487161295
  NPD (past) Authorized official

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1285000323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 JEFFERSON ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141514",
            "telephone_number": "973-223-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 E MAIN ST",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "07424",
            "telephone_number": "973-223-6661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070141514",
            "country_code": "US",
            "telephone_number": "973-223-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTERBA",
        "first_name": "RAINA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00337600",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NJ",
            "license": "46TR00337600",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00337600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne M. Kilroy, MSN, NP
• Kimberly Physical Therapy
• Veronica Knepp
• Robert Koernig
• Kristina Koprivica, PHARMD
• Sarah Kozrosh, LPC
• Marianne Kunze, LCSW, LCADC
• Raffaele Lagonigro, PT
• Antonio D Laneve, D.C.
• Eleonora Latoja-Yalong

• Pediatric Occupational Therapist in Little Falls, NJ
• Providers in Little Falls, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.