Individual provider Active NPI

Michele Berretta, OTR/L

  • Occupational Therapist
  • Marlton, NJ
National Provider Identifier
1447450101
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00340600 Issued in NJ
Practice address
170 Greentree Rd
Genesis Rehab Services
Marlton, NJ 08053-9428
Phone
(609) 792-5081
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00340600 NJ Primary

Addresses

Primary practice location

170 Greentree Rd
Genesis Rehab Services
Marlton, NJ 08053-9428

Mailing address

6 Tomahawk Dr
Marlton, NJ 08053-2127
Phone (856) 797-0727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Choice, LLC Occupational Therapist PastSince Oct 24, 1998 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1447450101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TOMAHAWK DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532127",
            "telephone_number": "856-797-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 GREENTREE RD",
            "address_2": "GENESIS REHAB SERVICES",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539428",
            "telephone_number": "609-792-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRETTA",
        "first_name": "MICHELE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00340600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.