Melissa Rachel Bierman, MS/OTD, OTR/L

Individual provider Active NPI Occupational Therapist · Randolph, NJ

NPI 1649033499 · NPPES record last updated Feb 5, 2024

Key facts

NPI
1649033499
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
027872-01 (NY)
Practice address
1101 Sussex Tpke
Randolph, NJ 07869-4206
Phone
(973) 214-1653
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
027872-01NYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 027872-01 NY Yes

Addresses

Primary practice location

1101 Sussex Tpke
Randolph, NJ 07869-4206

Mailing address

1101 Sussex Tpke
Randolph, NJ 07869-4206
Phone (973) 214-1653

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 5, 2024.

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1649033499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SUSSEX TPKE",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694206",
            "telephone_number": "973-214-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SUSSEX TPKE",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694206",
            "telephone_number": "973-214-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERMAN",
        "first_name": "MELISSA",
        "middle_name": "RACHEL",
        "credential": "MS/OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027872-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

All providers in Randolph, NJ · Occupational Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.