Taylor Raquel Demarco, OTR/L

Individual provider Active NPI Occupational Therapist · Randolph, NJ

NPI 1386499564 · NPPES record last updated Apr 20, 2024

Key facts

NPI
1386499564
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
46TR01158200 (NJ)
Practice address
791 Route 10 E
Randolph, NJ 07869-1933
Phone
(973) 216-1008
NPI assigned
Apr 20, 2024
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)
No

State licenses

LicenseStateTypeSpecialty
46TR01158200NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Believe in Me Services, LLC Past
since Apr 21, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR01158200 NJ Yes

Addresses

Primary practice location

791 Route 10 E
Randolph, NJ 07869-1933

Mailing address

3 Lorraine Ter
Boonton, NJ 07005-1239
Phone (201) 414-4682

Other providers in Randolph, NJ

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

Sources for this page

Verify at the official NPI Registry.