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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250409001685 | NJ | Practitioner - Occupational Therapist in Private Practice | 2769906957 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Home Rehabilitation, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Julianne Huber
- Dina L Hulbert
- Chung Y Hung
- Huntington Learning Center
- Jin Young Hur
- Asad Hussain
- Awais Khawar Hussain
- Ghassan Hussein
- Gabrielle Patrice Hutcheson
- Ki Soo Hwang
All providers in Wayne, NJ · Occupational Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.