Jillian Nicole Maisch, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00824200 Issued in NJ

Practice address

129 N White Horse Pike Ste B
Hammonton, NJ 08037-1874

Phone

(609) 704-1980

Fax

(609) 704-9054

NPI assigned

Jun 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Atlantic Orthopedic & Sports Physical Therapy PC

  • Physical Therapist
  • Hammonton, NJ
  • NPI 1497701452

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1346733342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N WHITE HORSE PIKE STE B",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371874",
            "telephone_number": "609-704-1980",
            "fax_number": "609-704-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N WHITE HORSE PIKE STE B",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371874",
            "telephone_number": "609-704-1980",
            "fax_number": "609-704-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISCH",
        "first_name": "JILLIAN",
        "middle_name": "NICOLE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00824200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Joyce Loughlin-Pherribo, D.O.
• Angelo A Luzzi, DPM
• Okechukwu Anslem Madu, APN
• Jamal Mahmud, M.D.
• Main Street Family Medicine, PA
• Tiffani Major, DIPLOMA
• Robert Eugene Mann, APN
• Maple Leaf Physical Therapy PC
• Michele Marciano, LCSW, LCADC
• Maria Chiara Carta MD PA

• Occupational Therapist in Hammonton, NJ
• Providers in Hammonton, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.