Organization Active NPI

Occupational Therapy Associates of Princeton

  • Pediatric Occupational Therapist
  • Princeton, NJ
National Provider Identifier
1598069981
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR00224700 Issued in NJ
Legal business name
OCCUPATIONAL THERAPY ASSOCIATES OF PRINCETON
Practice address
219 Wall St
Princeton, NJ 08540-1512
Phone
(609) 921-1555
Fax
(609) 921-1065
NPI assigned
Dec 29, 2010
Last updated
Oct 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Ms. Sharyn Rudofsky, OTR/L
Title
Occupational Therapist/Owner
Phone
(609) 921-1555

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 46TR00224700 NJ Primary
Pediatric Occupational Therapist 225XP0200X 46TR00687200 NJ
Pediatric Occupational Therapist 225XP0200X 46TR00042900 NJ
Pediatric Occupational Therapist 225XP0200X 46TR00015000 NJ
Pediatric Occupational Therapist 225XP0200X 46TR00170000 NJ

Addresses

Primary practice location

219 Wall St
Princeton, NJ 08540-1512

Mailing address

219 Wall St
Princeton, NJ 08540-1512
Phone (609) 921-1555

National Provider Directory

National Provider Directory

Locations

219 Wall St
Princeton, NJ 08540
Phone 6097219234 ext. 60972

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1598069981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 WALL ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401512",
            "telephone_number": "609-921-1555",
            "fax_number": "609-921-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 WALL ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401512",
            "telephone_number": "609-921-1555",
            "fax_number": "609-921-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL THERAPY ASSOCIATES OF PRINCETON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "RUDOFSKY",
        "authorized_official_first_name": "SHARYN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "609-921-1555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00224700",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00687200",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00042900",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00015000",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00170000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.