Paula I Hurtado, BSOTR/L

Individual provider Active NPI Occupational Therapist · Wayne, NJ

NPI 1487846572 · NPPES record last updated Aug 14, 2007

Key facts

NPI
1487846572
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
46TR00097300 (NJ)
Practice address
224 Hamburg Tpke
Wayne, NJ 07470-2111
Phone
(973) 956-3360
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250409001685 NJ Practitioner - Occupational Therapist in Private Practice 2769906957 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Home Rehabilitation, LLC Current
since Apr 1, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00097300 NJ Yes

Addresses

Primary practice location

224 Hamburg Tpke
Wayne, NJ 07470-2111

Mailing address

224 Hamburg Tpke
Wayne, NJ 07470-2111
Phone (973) 956-3360

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 14, 2007.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1487846572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702111",
            "telephone_number": "973-956-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702111",
            "telephone_number": "973-956-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "PAULA",
        "middle_name": "I",
        "credential": "BSOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00097300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

All providers in Wayne, NJ · Occupational Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.