Individual provider Active NPI

Michelle Vazquez-Lopez, OTR/L

  • Occupational Therapist
  • Fairfield, NJ
National Provider Identifier
1326935685
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01239100 Issued in NJ
Practice address
333 US Highway 46 Ste 135
Fairfield, NJ 07004-2427
Phone
(973) 943-4300
NPI assigned
Jun 19, 2025
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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 46TR01239100 NJ Primary

Addresses

Primary practice location

333 US Highway 46 Ste 135
Fairfield, NJ 07004-2427

Mailing address

110 Hamilton Ave Apt 2
Passaic, NJ 07055-5214
Phone (856) 503-1332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260306003238 NJ Practitioner - Occupational Therapist in Private Practice 1254813264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mecca Integrated Medical Center, LLCGroup PAC ID 5496890691, 10 clinicians

Practice addresses (Care Compare)

333 A RT 46
St 135
Fairfield, NJ 07004-2415

333A Route 46 W
Suite 135
Fairfield, NJ 07004-2415
Phone (973) 943-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01239100NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mecca Integrated Medical Center, LLC CurrentSince Jan 11, 2026 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1326935685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HAMILTON AVE APT 2",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555214",
            "telephone_number": "856-503-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 US HIGHWAY 46 STE 135",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042427",
            "telephone_number": "973-943-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ-LOPEZ",
        "first_name": "MICHELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01239100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.