Active NPI
Jaime Lynn Gladysz
- Occupational Therapist
- Cinnaminson, NJ
National Provider Identifier
1306071253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0C010690
- Practice address
- 1450 Camelot CT
Cinnaminson, NJ 08077-1586 - Phone
- (631) 987-5930
- NPI assigned
- May 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0C010690 | PA | Primary |
| Occupational Therapist | 225X00000X | 46TR00472000 | NJ |
Addresses
Primary practice location
1450 Camelot CT
Cinnaminson, NJ 08077-1586
Mailing address
1450 Camelot CT
Cinnaminson, NJ 08077-1586
Phone (631) 987-5930
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00472000 | NJ | MD | Occupational Therapist |
| 0C010690 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1306071253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 CAMELOT CT",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080771586",
"telephone_number": "631-987-5930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 CAMELOT CT",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080771586",
"telephone_number": "631-987-5930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADYSZ",
"first_name": "JAIME",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-21",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "0C010690",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00472000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cinnaminson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.