Active NPI
Ridgewood Pediatric Therapy Associates, LLC
- Occupational Therapist
- Ho Ho Kus, NJ
National Provider Identifier
1326424334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00153900
- Legal business name
- RIDGEWOOD PEDIATRIC THERAPY ASSOCIATES, LLC
- Practice address
- 611 North Maple Avenue
Suite 7
Ho Ho Kus, NJ 07423 - Phone
- (201) 251-9446
- Fax
- (201) 251-0147
- NPI assigned
- Aug 3, 2015
- Organization subpart
- Yes
- Parent organization
- RIDGEWOOD PEDIATRIC THERAPY ASSOCIATES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rose Santos-Martinez, OTR
- Title
- Owner/Director
- Phone
- (201) 251-9446
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00153900 | NJ | Primary |
Addresses
Primary practice location
611 North Maple Avenue
Suite 7
Ho Ho Kus, NJ 07423
Mailing address
611 North Maple Avenue
Suite 7
Ho Ho Kus, NJ 07423
Phone (201) 251-9446
Other names 1
- Funtastic Gym
National Provider Directory
National Provider Directory- Part of
- Ridgewood Pediatric Therapy Associates LLC
Locations
611 N Maple Ave
Ste 7
Ho Ho Kus, NJ 07423
Phone (201) 251-9446
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Ho Ho Kus, NJ
- NPI 1851645154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446681600000",
"number": "1326424334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 NORTH MAPLE AVENUE",
"address_2": "SUITE 7",
"city": "HO HO KUS",
"state": "NJ",
"postal_code": "07423",
"telephone_number": "201-251-9446",
"fax_number": "201-251-0147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 NORTH MAPLE AVENUE",
"address_2": "SUITE 7",
"city": "HO HO KUS",
"state": "NJ",
"postal_code": "07423",
"telephone_number": "201-251-9446",
"fax_number": "201-251-0147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGEWOOD PEDIATRIC THERAPY ASSOCIATES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIDGEWOOD PEDIATRIC THERAPY ASSOCIATES, LLC",
"enumeration_date": "2015-08-03",
"last_updated": "2015-11-05",
"status": "A",
"authorized_official_last_name": "SANTOS-MARTINEZ",
"authorized_official_first_name": "ROSE",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "201-251-9446",
"authorized_official_credential": "OTR"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00153900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Funtastic Gym",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Ho Ho Kus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.