Individual provider Active NPI

Patricia Leary Obrien, OT

  • Pediatric Occupational Therapist
  • Morristown, NJ
National Provider Identifier
1376834952
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR0019200 Issued in NJ
Practice address
25 Lindsley Dr
Suite 207
Morristown, NJ 07960-4455
Phone
(973) 971-0770
NPI assigned
Apr 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 46TR0019200 NJ Primary
Pediatric Occupational Therapist 225XP0200X 46TR000086100 NJ

Addresses

Primary practice location

25 Lindsley Dr
Suite 207
Morristown, NJ 07960-4455

Mailing address

25 Lindsley Dr
Suite 207
Morristown, NJ 07960-4455
Phone (973) 971-0770

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46TR000086100NJMDPediatric Occupational Therapist
46TR0019200NJMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Springboard Pediatric Therapy Corp Pediatrics CurrentSince Jan 21, 2024 Accepting new patients

Locations

25 Lindsley Dr
Ste 207
Morristown, NJ 07960
Phone (973) 971-0770

100 S Jefferson Rd
Ste 100
Whippany, NJ 07981
Phone (908) 334-2545

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.

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1376834952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LINDSLEY DR",
            "address_2": "SUITE 207",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604455",
            "telephone_number": "973-971-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LINDSLEY DR",
            "address_2": "SUITE 207",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604455",
            "telephone_number": "973-971-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "PATRICIA",
        "middle_name": "LEARY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR0019200",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR000086100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.