Terry Chazan Rothberg, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00153700 Issued in NJ

Practice address

5 Parkview Ter
Highland Park, NJ 08904-2650

Phone

(732) 718-3991

NPI assigned

Feb 1, 2017

Last updated

Feb 1, 2017By the provider in NPPES

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

Other names 1

• Terry Anne Chazan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1457899270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PARKVIEW TER",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042650",
            "telephone_number": "732-718-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PARKVIEW TER",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042650",
            "telephone_number": "732-718-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHBERG",
        "first_name": "TERRY",
        "middle_name": "CHAZAN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00153700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "CHAZAN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debra Rosenfeld, LCSW
• Jolie Rosenthal, OTR/L
• Sheryl Beth Ross, MA
• Gerald H Roth, D.C.
• Sharon Rothbart, LCSW
• Elissa Rozov, PH.D.
• Bluma Rubin
• Elliot H Rubin, MD
• Michelle Rullo, MSW, LSW
• Tammy Russ-Fishbane, LCSW

• Occupational Therapist in Highland Park, NJ
• Providers in Highland Park, 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 Feb 1, 2017; 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.