Individual provider Active NPI

Shreya Patel, OTR/L

  • Occupational Therapist
  • Brick, NJ
National Provider Identifier
1619579844
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00958500 Issued in NJ
Practice address
474 Austin Ave
Brick, NJ 08724-2194
Phone
(848) 459-7379
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00958500 NJ Primary

Addresses

Primary practice location

474 Austin Ave
Brick, NJ 08724-2194

Mailing address

474 Austin Ave
Brick, NJ 08724-2194
Phone (848) 459-7379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210113000449 NJ Practitioner - Occupational Therapist in Private Practice 3072926088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Physical Therapy CenterGroup PAC ID 8820168123, 117 clinicians

Practice addresses (Care Compare)

2005 Route 35
Suite 21
Oakhurst, NJ 07755-2763
Phone (732) 240-9296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physical Therapy Center Occupational Therapist CurrentSince Oct 16, 2020 Accepting new patients
Atlantic Physical Therapy Center CurrentSince Oct 16, 2020 Accepting new patients
Seashore Pediatric Therapy Center PC Past Accepting new patients

Locations

1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800

2005 State Route 35
Ste 21
Oakhurst, NJ 07755
Phone (732) 240-9296

1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 722-8787

1372 Route 9
Bldg 2
Toms River, NJ 08755
Phone (732) 240-9296

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1619579844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 AUSTIN AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242194",
            "telephone_number": "848-459-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 AUSTIN AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242194",
            "telephone_number": "848-459-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHREYA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00958500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.