Active NPI
Tara Marie Nuzzo, OTR/L
- Pediatric Occupational Therapist
- Charleston, SC
National Provider Identifier
1306365176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 5080
- Practice address
- 80 Broad St
Charleston, SC 29401-2901 - Phone
- (864) 408-9509
- NPI assigned
- Sep 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 5080 | SC | Primary |
Addresses
Primary practice location
80 Broad St
Charleston, SC 29401-2901
Mailing address
15303 Sweet PL
Charleston, SC 29492-2833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5080 | SC | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thompson Medical and Chiropractic LLC | Current | Accepting new patients | |
| Thompson Medical and Chiropractic LLC | Current | Accepting new patients | |
| Therafit Enterprises of New Jersey Incorporated | Current | Accepting new patients | |
| Therafit Enterprises of New Jersey Incorporated | Current | Accepting new patients |
Locations
443 Highway 34
Ste J
Matawan, NJ 07747
Phone (732) 639-0068
1215 Highway 35
Middletown, NJ 07748
Phone (732) 639-0068
1275 Highway 35
Ste 7
Middletown, NJ 07748
Phone (732) 639-0068
106 Apple St
Ste 100C
Tinton Falls, NJ 07724
Phone (732) 747-5022
Organizations & group practices 4
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.
-
- Occupational Therapist
- Middletown, NJ
- NPI 1841728862
-
- Physical Medicine & Rehabilitation Physician
- Forked River, NJ
- NPI 1942755103
-
- Occupational Therapist
- Matawan, NJ
- NPI 1396610440
-
- Physical Medicine & Rehabilitation Physician
- Wall Township, NJ
- NPI 1215604103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505260800000",
"number": "1306365176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15303 SWEET PL",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294922833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 BROAD ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294012901",
"telephone_number": "864-408-9509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUZZO",
"first_name": "TARA",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2017-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "SC",
"license": "5080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.