Organization Active NPI

Therapy by Design

  • Pediatric Occupational Therapist
  • North Bergen, NJ
National Provider Identifier
1609410216
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
THERAPY BY DESIGN
Practice address
8305 Bergenline Ave Apt 8
North Bergen, NJ 07047-5059
Phone
(917) 312-2252
NPI assigned
Nov 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Diana Lara, OTR/L
Title
Principal/Occupational Therapist
Phone
(917) 312-2252

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

8305 Bergenline Ave Apt 8
North Bergen, NJ 07047-5059

Mailing address

8305 Bergenline Ave Apt 8
North Bergen, NJ 07047-5059
Phone (917) 312-2252

Other names 1

  • OT By Design Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1609410216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 BERGENLINE AVE APT 8",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475059",
            "telephone_number": "917-312-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 BERGENLINE AVE APT 8",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475059",
            "telephone_number": "917-312-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY BY DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRINCIPAL/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "917-312-2252",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OT By Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.