Organization Active NPI

Feedback Loops Occupational Therapy and Biofeedback Services

  • Occupational Therapist
  • Madison, NJ
National Provider Identifier
1407498892
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
FEEDBACK LOOPS OCCUPATIONAL THERAPY AND BIOFEEDBACK SERVICES
Practice address
37 Kings Rd Ste 101
Madison, NJ 07940-2500
Phone
(973) 586-6554
NPI assigned
Oct 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Jill Sharon Broderick, MS, OTR, BCBNPI 1093357956
Title
Occupational Therapist
Phone
(973) 586-6554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

37 Kings Rd Ste 101
Madison, NJ 07940-2500

Mailing address

37 Kings Rd Ste 101
Madison, NJ 07940-2500
Phone (973) 586-6554

National Provider Directory

National Provider Directory

Locations

37 Kings Rd
Ste 101
Madison, NJ 07940
Phone (201) 738-8990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1407498892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 KINGS RD STE 101",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402500",
            "telephone_number": "973-586-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 KINGS RD STE 101",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402500",
            "telephone_number": "973-586-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEEDBACK LOOPS OCCUPATIONAL THERAPY AND BIOFEEDBACK SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "973-586-6554",
        "authorized_official_credential": "MS, OTR, BCB"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.