Mariam Rizkalla, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01242100 Issued in NJ

Practice address

436 Route 79 Ste 21
Morganville, NJ 07751-9797

Phone

(732) 617-9000

NPI assigned

Jul 30, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garden State Physical Therapy and Sports RehabilitationGroup PAC ID 2860924396, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Garden State Physical Therapy & Sports Rehabilitation

  • Physical Therapy Clinic/Center
  • Morganville, NJ
  • NPI 1336692672
  Medicare reassignment Care Compare group NPD
• Captivate Physical Therapy

  • Physical Therapist
  • Staten Island, NY
  • NPI 1477427961
  NPD

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1497638001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 ROUTE 79 STE 21",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077519797",
            "telephone_number": "732-617-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 ROUTE 79 STE 21",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077519797",
            "telephone_number": "732-617-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZKALLA",
        "first_name": "MARIAM",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01242100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revenue Guard Medical Claims Management LLC (Revenue Guard)
• Richard Champagne DMD PC
• Richard L. Scotti D.D.S. P.a.
• Ludmila Ridlovsky, M.D.
• Michael David Ring, MSW, LCSW, LCADC
• Zahra Rizvi, PHARMD
• Linda Robinson
• Rock Out Loud
• Danielle Rodriguez
• Valerie Ann Romano

• Occupational Therapist in Morganville, NJ
• Providers in Morganville, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.