NPIMap

Organization Active NPI

Bolsters and Balls Occupational Therapy

  • Occupational Therapist
  • Teaneck, NJ
National Provider Identifier
1497519284
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
BOLSTERS AND BALLS OCCUPATIONAL THERAPY
Practice address
1346 Fayette St
Teaneck, NJ 07666-2118
Phone
(917) 579-5399
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Mr. Lynda Pavel, OTRLNPI 1962646646
Title
Owner
Phone
(917) 579-5399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

1346 Fayette St
Teaneck, NJ 07666-2118

Mailing address

1346 Fayette St
Teaneck, NJ 07666-2118
Phone (917) 579-5399

Other names 1

  • BOLSTERS AND BALLS THERAPY Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1497519284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 FAYETTE ST",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662118",
            "telephone_number": "917-579-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 FAYETTE ST",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662118",
            "telephone_number": "917-579-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLSTERS AND BALLS OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "PAVEL",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-579-5399",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOLSTERS AND BALLS THERAPY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.