Sensory Bounce, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

46TR00169900 Issued in NJ

Legal business name

SENSORY BOUNCE, LLC

Practice address

16-00 Route 208
Fair Lawn, NJ 07410-2503

Phone

(201) 759-4465

Fax

(201) 759-4465

NPI assigned

Dec 18, 2017

Last updated

Dec 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Miriam B Skydell, MS, OTR/LNPI 1275873937

Title

Founder, Director

Phone

(201) 794-7700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Miriam Skydell

  • Pediatric Occupational Therapist
  • Fair Lawn, NJ
  • NPI 1275873937
  Authorized official Same address or phone

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1639685399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16-00 ROUTE 208",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102503",
            "telephone_number": "201-759-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16-00 ROUTE 208",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102503",
            "telephone_number": "201-759-4465",
            "fax_number": "201-759-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSORY BOUNCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "SKYDELL",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "FOUNDER,  DIRECTOR",
        "authorized_official_telephone_number": "201-794-7700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00169900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Fair Lawn, NJ
• Providers in Fair Lawn, 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 Dec 18, 2017; 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.