Justin Thomas McTish, OTD, OTR/L, CAPS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR0097550 Issued in NJ

Practice address

1050 US Highway 1
Avenel, NJ 07001-1548

Phone

(732) 504-3649

Fax

(732) 564-9032

NPI assigned

Jun 23, 2021

Sex

Male

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

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthonj LLCGroup PAC ID 6800225178, 302 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthonj LLC

  • Orthopaedic Surgery Physician
  • Somerset, NJ
  • NPI 1720557432
  Medicare reassignment Care Compare group NPD
• JH Therapy Services

  dba JH Therapy Services PC (NJ)

  • Home Health Agency
  • Jersey City, NJ
  • NPI 1760192686

  Occupational Therapist

  Medicare reassignment NPD
• Orthonj LLC

  • Durable Medical Equipment & Medical Supplies
  • Galloway, NJ
  • NPI 1487448312
  NPD
• JH Therapy Services

  • Occupational Therapist
  • Lapeer, MI
  • NPI 1104618180
  NPD

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1407425382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 US HIGHWAY 1",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011548",
            "telephone_number": "732-283-2663",
            "fax_number": "732-283-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 US HIGHWAY 1",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011548",
            "telephone_number": "732-504-3649",
            "fax_number": "732-564-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTISH",
        "first_name": "JUSTIN",
        "middle_name": "THOMAS",
        "credential": "OTD, OTR/L, CAPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR0097550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Mann, D.M.D
• Marc Mandel MD PC
• Fatima A Masumova, DO
• Jamie Mazzarelli
• Shannon McGinn, MA
• Medigest Associates PA
• Medigest Healthcare Services LLC
• Heaven Medina
• Medquest Labs LLC
• Mental Health Access Point (Amh Access Point)

• Occupational Therapist in Avenel, NJ
• Providers in Avenel, 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 Nov 11, 2021; 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.

Verify at the official NPI Registry.