Individual provider Active NPI

Carrel Gonzales Sese Lavina, OTR/L

  • Occupational Therapist
  • Clifton, NJ
National Provider Identifier
1477866952
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0138401-1 Issued in NY
Practice address
1070 Clifton Ave
Clifton, NJ 07013-3619
Phone
(973) 246-6565
NPI assigned
Jul 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0138401-1 NY Primary
Occupational Therapist 225X00000X 46TR00429200 NJ

Addresses

Primary practice location

1070 Clifton Ave
Clifton, NJ 07013-3619

Mailing address

575 Grove St Unit E6
Clifton, NJ 07013-3177
Phone (201) 889-3902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102001319 NJ Practitioner - Occupational Therapist in Private Practice 5698926699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Wellness LLCGroup PAC ID 3577970276, 4 clinicians
Exemplary Home Therapy Services LLCGroup PAC ID 0840658084, 20 clinicians

Practice addresses (Care Compare)

Teaneck, NJ 07666
Phone (201) 674-2611

1616 Hamilton St
Belleville, NJ 07109-5346
Phone (856) 506-6281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00429200NJMDOccupational Therapist
0138401-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Home Therapy Services LLC CurrentSince Dec 18, 2023 Accepting new patients
Therapy Wellness LLC CurrentSince Apr 14, 2025 Accepting new patients
Exemplary Home Therapy Services LLC CurrentSince Dec 18, 2023 Accepting new patients

Organizations & group practices 3

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": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1477866952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 GROVE ST UNIT E6",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133177",
            "telephone_number": "201-889-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133619",
            "telephone_number": "973-246-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESE LAVINA",
        "first_name": "CARREL",
        "middle_name": "GONZALES",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0138401-1",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00429200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.