Joseph W Christensen, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

011475-1 Issued in NY

Practice address

627 Winterberry Blvd
Jackson, NJ 08527-5343

Phone

(917) 703-0781

Fax

(732) 928-4181

NPI assigned

Jan 31, 2007

Last updated

Nov 7, 2008By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JC Consultants LLC

  • Pediatric Occupational Therapist
  • Jackson, NJ
  • NPI 1245099050

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226016000000",
    "number": "1508903014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "CLARKSBURG",
            "state": "NJ",
            "postal_code": "085100719",
            "telephone_number": "917-703-0781",
            "fax_number": "732-928-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 WINTERBERRY BLVD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275343",
            "telephone_number": "917-703-0781",
            "fax_number": "732-928-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "JOSEPH",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "011475-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Child Smart LLC
• Child Smart LLC
• Children's Dental Surgery Center of Jackson LLC
• Children's Dental Surgery Center of Jackson LLC (Children's Dental Surgery of Jackson)
• Childrens Specialized Hospital ABA, LLC. (Childrens Specialized Hospital ABA)
• Katelyn Chrzan
• Circle Community Supports LLC
• Nicole Ciulla
• Clarity 360
• Clarity 360 Ga LLC

• Pediatric Occupational Therapist in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; 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.