Active NPI
Jill D Langell, OTR/L
- Occupational Therapist
- Glen Ridge, NJ
National Provider Identifier
1407260623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00236800
- Practice address
- 1 Bay St
Glen Ridge, NJ 07028-1505 - Phone
- (973) 429-6000
- NPI assigned
- Jun 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00236800 | NJ | Primary |
Addresses
Primary practice location
1 Bay St
Glen Ridge, NJ 07028-1505
Mailing address
151 Old Forge Rd
Millington, NJ 07946-1512
Phone (973) 746-2125
Other practice location 1
240 Springfield Ave
Westfield, NJ 07090-1023
Phone (908) 264-8937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171213000118 | NJ | Practitioner - Occupational Therapist in Private Practice | 5294093621 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Bridgewater, NJ 08807
Phone (908) 722-7022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00236800 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeway Care at Home, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
270 State Route 28
Bridgewater, NJ 08807
Phone (908) 722-7022
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.
-
- Geriatric Physical Therapist
- Bridgewater, NJ
- NPI 1104383421
NJ, Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1407260623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 OLD FORGE RD",
"city": "MILLINGTON",
"state": "NJ",
"postal_code": "079461512",
"telephone_number": "973-746-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BAY ST",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070281505",
"telephone_number": "973-429-6000"
}
],
"practiceLocations": [
{
"address_1": "240 Springfield Ave",
"address_purpose": "LOCATION",
"city": "Westfield",
"state": "NJ",
"postal_code": "070901023",
"country_code": "US",
"telephone_number": "908-264-8937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANGELL",
"first_name": "JILL",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-16",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00236800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.