Avery Specchio, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01218300 Issued in NJ

Practice address

69 Newark Pompton Tpke
Riverdale, NJ 07457-1426

Phone

(973) 248-8111

NPI assigned

Dec 6, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Specialty

Occupational Therapist in Private Practice

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Montville Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Montville, NJ
  • NPI 1467617795
  NPD
• Paramus Orthopedic Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Paramus, NJ
  • NPI 1326474081
  NPD
• The New Jersey Center of Physical Therapy, PC

  • Physical Therapist
  • Riverdale, NJ
  • NPI 1063508174
  NPD
• Wayne Orthopedic Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Wayne, NJ
  • NPI 1114250057
  NPD
• Paramus Orthopedic Physical Therapy

  • Preferred Provider Organization
  • Paramus, NJ
  • NPI 1588114680
  NPD (past)
• Wayne Foot and Ankle Center,PA

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
  • NPI 1669519047
  NPD (past)

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1417763145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SOUTH ST",
            "city": "FRANKLIN",
            "state": "NJ",
            "postal_code": "074162123",
            "telephone_number": "973-513-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571426",
            "telephone_number": "973-248-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECCHIO",
        "first_name": "AVERY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01218300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niranjan R Shah, R.PH.,
• Noreen Sheehan, D.M.D
• Claudia Sierzputowski, PA-C
• Simply Eyecare LLC.
• Stephanie Smith, M.D.
• Eileen Waterbury Stahl, PH.D.
• Gary C Stewart, D.C.
• Gerald Joseph Struble III, PT, DPT
• Summit Dental Group Riverdale LLC (Summit Dental Group)
• Tommy Sutor, MS, CSCS

• Occupational Therapist in Riverdale, NJ
• Providers in Riverdale, 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 Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.