Active NPI
Jannika Hantho, OTR/L
- Pediatric Occupational Therapist
- Montclair, NJ
National Provider Identifier
1457586653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 46TR00551100
- Practice address
- 136 Midland Ave
#2
Montclair, NJ 07042-2958 - Phone
- (917) 902-1496
- NPI assigned
- May 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 015647 | NY | |
| Pediatric Occupational Therapist | 225XP0200X | 46TR00551100 | NJ | Primary |
Addresses
Primary practice location
136 Midland Ave
#2
Montclair, NJ 07042-2958
Mailing address
136 Midland Ave
#2
Montclair, NJ 07042-2958
Phone (917) 902-1496
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015647 | NY | MD | Clinical Psychologist |
| 46TR00551100 | NJ | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1457586653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 MIDLAND AVE",
"address_2": "#2",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422958",
"telephone_number": "917-902-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 MIDLAND AVE",
"address_2": "#2",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422958",
"telephone_number": "917-902-1496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANTHO",
"first_name": "JANNIKA",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "015647",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NJ",
"license": "46TR00551100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.