Individual provider Active NPI

Joanna Poyssick, OTR/L

  • Occupational Therapist
  • Summit, NJ
National Provider Identifier
1346648961
Registry record updated Dec 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00673700 Issued in NJ
Practice address
57 Union PL
Summit, NJ 07901-2568
Phone
(908) 273-5537
NPI assigned
Dec 13, 2014
Last updated
Dec 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2014

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 46TR00673700 NJ Primary

Addresses

Primary practice location

57 Union PL
Summit, NJ 07901-2568

Mailing address

1558 Franklin St
Clark, NJ 07066-2508
Phone (732) 713-0389

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116003574 FL Practitioner - Occupational Therapist in Private Practice 3971031030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00673700NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sensational Students Occupational Therapy LLC Occupational Therapist Current Accepting new patients
Florida Rehability at Home, LLC Occupational Therapist CurrentSince Jan 8, 2025 Accepting new patients

Organizations & group practices 2

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": "1418428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418428800000",
    "number": "1346648961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 FRANKLIN ST",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662508",
            "telephone_number": "732-713-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 UNION PL",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012568",
            "telephone_number": "908-273-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POYSSICK",
        "first_name": "JOANNA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-13",
        "last_updated": "2014-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00673700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2014; 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.

Verify at the official NPI Registry.