Katherine Pavlica, MS, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00533400 Issued in NJ

Practice address

3196 Kennedy Blvd
Sportscare 3Rd Floor
Union City, NJ 07087-2436

Phone

(201) 223-4949

NPI assigned

Jan 19, 2012

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Master of Science

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.

• Sportscare Institute, Inc.

  • Physical Therapist
  • Toms River, NJ
  • NPI 1275501074
  NPD (past)

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1366713588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 RAVINE AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 KENNEDY BLVD",
            "address_2": "SPORTSCARE 3RD FLOOR",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872436",
            "telephone_number": "201-223-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLICA",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "MS, OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00533400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prachi Patel
• Tejal Patel, BDS, DMD
• Vimal R Patel I, PHARM.D
• Dulcine G Paul Jr., LPN
• Michelle S Paulino, LAC
• Pearl Smile Dental PC
• Pelvic PT Rehabilitation
• Gilda Pena Tejada, M.D.
• Peoples RX Incorporated
• Candice Perez

• Occupational Therapist in Union City, NJ
• Providers in Union City, 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 Jan 19, 2012; 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.