Active NPI
Brainbuilders
- Occupational Therapist
- Lakewood, NJ
National Provider Identifier
1457066532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- BRAINBUILDERS
- Practice address
- 945 River Ave
Lakewood, NJ 08701-5659 - Phone
- (732) 833-3723
- NPI assigned
- Jan 23, 2023
- Organization subpart
- Yes
- Parent organization
- BRAINBUILDERS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Sorotzkin
- Title
- Clinical Director
- Phone
- (732) 833-3723
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
945 River Ave
Lakewood, NJ 08701-5659
Mailing address
945 River Ave
Lakewood, NJ 08701-5659
Other names 1
- Brainbuilders OT/PT
National Provider Directory
National Provider Directory- Tax ID family
- Brainbuilders
- Part of
- Brainbuilders
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Lakewood, NJ
- NPI 1144552621
-
- Speech-Language Pathologist
- Lakewood, NJ
- NPI 1801501846
Locations
945 River Ave
Lakewood, NJ 08701
Phone (732) 232-8043
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Behavior Analyst
- Lakewood, NJ
- NPI 1144552621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674432000000",
"number": "1457066532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 RIVER AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 RIVER AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015659",
"telephone_number": "732-833-3723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAINBUILDERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BRAINBUILDERS",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A",
"authorized_official_last_name": "SOROTZKIN",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "732-833-3723"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brainbuilders OT/PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.