Tatyana Komar Otr/L LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00097700 Issued in NJ

Legal business name

TATYANA KOMAR OTR/L LLC

Practice address

1500 N Kings Hwy
Suite #104
Cherry Hill, NJ 08034-2304

Phone

(856) 616-2385

Fax

(856) 616-2385

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Tatyana Komar, MA, OTR/LNPI 1407921000

Title

Occupational Therapist

Phone

(856) 616-2385

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tatyana Komar

  • Occupational Therapist
  • Cherry Hill, NJ
  • NPI 1407921000
  Medicare reassignment NPD Authorized official
• Olga Borsutsky, MSPT

  • Physical Therapist
  • Cherry Hill, NJ
  • NPI 1487317343
  Medicare reassignment NPD
• Olga V Zaretska, D.P.T.

  • Physical Therapist
  • Cherry Hill, NJ
  • NPI 1255665543
  NPD (past)

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1649457045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 KINGS HWY N STE B104",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342304",
            "telephone_number": "856-616-2385",
            "fax_number": "856-616-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N KINGS HWY",
            "address_2": "SUITE #104",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342304",
            "telephone_number": "856-616-2385",
            "fax_number": "856-616-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATYANA KOMAR OTR/L LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "KOMAR",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "856-616-2385",
        "authorized_official_credential": "MA, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00097700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Target Pharmacy
• Zainab Tariq
• Melvina Tarlue
• Michelle Tartamosa, MSW, LSW, CCLS
• Danielle Tarzy, SSW, MSW, LCSW
• Bruce Taubman, MD
• Michael Tautonico, DPT
• Justin Taylor
• Madison Jayana Taylor
• Theresa C Taylor, PT

• Occupational Therapist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.