Individual provider Active NPI

Damaris Tabares, OTR

  • Occupational Therapist
  • Clifton, NJ
National Provider Identifier
1326558073
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00794200 Issued in NJ
Practice address
1070 Clifton Ave Ste 1a
Clifton, NJ 07013-3619
Phone
(973) 246-6565
Fax
(973) 883-0140
NPI assigned
Oct 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00794200 NJ Primary

Addresses

Primary practice location

1070 Clifton Ave Ste 1a
Clifton, NJ 07013-3619

Mailing address

710 Mill St Unit H3
Belleville, NJ 07109-5306
Phone (973) 246-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171109001415 NJ Practitioner - Occupational Therapist in Private Practice 7517223423 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr D Physical Therapy LLCGroup PAC ID 2769876325, 3 clinicians

Practice addresses (Care Compare)

72 Gould Ter
Clifton, NJ 07013-3810
Phone (412) 626-1518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holsman Physical and Occupational Therapy, PC Occupational Therapist CurrentSince Oct 9, 2017 Accepting new patients
Fox Rehabilitation Services Inc Occupational Therapist CurrentSince Jun 1, 2023 Accepting new patients
Dr D Physical Therapy LLC Occupational Therapist CurrentSince Mar 4, 2022 Accepting new patients
Holsman Physical and Occupational Therapy PC Occupational Therapist CurrentSince Oct 9, 2017 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

711 Kearny Ave
#2
Kearny, NJ 07032
Phone (201) 535-8555

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

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.

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1326558073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MILL ST UNIT H3",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071095306",
            "telephone_number": "973-246-6565",
            "fax_number": "973-759-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 CLIFTON AVE STE 1A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133619",
            "telephone_number": "973-246-6565",
            "fax_number": "973-883-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABARES",
        "first_name": "DAMARIS",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00794200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.