Individual provider Active NPI

Annette Cynthia Schunk, COTA

  • Occupational Therapy Assistant
  • Paulsboro, NJ
National Provider Identifier
1285757682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
46TA09062500 Issued in NJ
Practice address
550 Jessup Rd
Paulsboro, NJ 08066-1921
Phone
(856) 848-9551
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 46TA09062500 NJ Primary

Addresses

Primary practice location

550 Jessup Rd
Paulsboro, NJ 08066-1921

Mailing address

5 Ferro Dr
Sewell, NJ 08080-9313
Phone (856) 218-4881

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
46TA09062500NJMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Manor Care-West Deptford of Paulsboro NJ LLC Past Accepting new patients
Physiatry Consultants of NJ LLC Past Accepting new patients

Organizations & group practices 2

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285757682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FERRO DR",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809313",
            "telephone_number": "856-218-4881",
            "fax_number": "856-218-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 JESSUP RD",
            "city": "PAULSBORO",
            "state": "NJ",
            "postal_code": "080661921",
            "telephone_number": "856-848-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUNK",
        "first_name": "ANNETTE",
        "middle_name": "CYNTHIA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09062500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paulsboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.