Lauren Marie Ettore, OTR/L
Individual provider Active NPI Occupational Therapist · Fair Lawn, NJ
NPI 1497556559 · NPPES record last updated Apr 1, 2025
Key facts
- NPI
- 1497556559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 46TR01232400 (NJ)
- Practice address
- 2-22 Banta PL
Fair Lawn, NJ 07410-3058 - Phone
- (877) 532-7837
- NPI assigned
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- All Be Healthy LLC
Practice addresses (Care Compare)
210 Mounts Corner Dr
Freehold, NJ 07728-2547
Phone (732) 724-2596
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250404001204 | NJ | Practitioner - Occupational Therapist in Private Practice | 5890219406 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01232400 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Be Healthy LLC | Occupational Therapist | Current |
Accepting new patients |
| All Be Healthy LLC | Physical Rehabilitation | Current |
Accepting new patients |
Locations
1455 Broad St
Ste 250
Bloomfield, NJ 07003
Phone (201) 817-6982
150 Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553
150A Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553
2-22 Banta Pl
Fair Lawn, NJ 07410
Phone (201) 509-8600
210 Mounts Corner Dr
Freehold, NJ 07728
Phone (732) 333-6322
765 Route 10
Ste 101
Randolph, NJ 07869
Phone (973) 983-3709
525 State Route 35
Tinton Falls, NJ 07701
Phone (732) 747-6833
1311 Morris Ave
Union, NJ 07083
Phone (908) 686-8446
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR01232400 | NJ | Yes |
Addresses
Primary practice location
2-22 Banta PL
Fair Lawn, NJ 07410-3058
Mailing address
1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Phone (877) 532-7837
Other providers in Fair Lawn, NJ
- Jellian S Escobar
- Ma Grace Espinas
- Mfon Essiet
- Sabrina Grace Estevez
- Elena L Estrin
- Tiffany Evangelou
- Everside Health-Fair Lawn Health Center
- Fair Lawn Advanced Footcare PC
- Fair Lawn Anesthesia Associates, LLC
- Fair Lawn ASC LLC
All providers in Fair Lawn, 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 Apr 1, 2025. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.