Carole Anne Andreou, OT

Individual provider Active NPI Occupational Therapist · Livingston, NJ

NPI 1346289063 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1346289063
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
TR001077 (NJ)
Practice address
200 S Orange Ave
Livingston, NJ 07039-5817
Phone
(973) 322-7500
Fax
(973) 322-7501
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
TR001077NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jag-One Physical Therapy, LLC Current
since Aug 31, 2019
Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X TR001077 NJ Yes

Addresses

Primary practice location

200 S Orange Ave
Livingston, NJ 07039-5817

Mailing address

1050 Galloping Hill Rd
Union, NJ 07083-7983
Phone (908) 206-2230

Other providers in Livingston, NJ

All providers in Livingston, NJ · Occupational Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.