Individual provider Active NPI

Robin Polkowitz, OTR

  • Occupational Therapist
  • Eatontown, NJ
National Provider Identifier
1649498940
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00038200 Issued in NJ
Practice address
3 Industrial Way E
Eatontown, NJ 07724-3318
Phone
(732) 544-1557
NPI assigned
Apr 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 46TR00038200 NJ Primary

Addresses

Primary practice location

3 Industrial Way E
Eatontown, NJ 07724-3318

Mailing address

38 Colts Run
Marlboro, NJ 07746-1925

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210826002489 NJ Practitioner - Occupational Therapist in Private Practice 6103221213 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearl Rehabilitation LLCGroup PAC ID 2466863915, 29 clinicians

Practice addresses (Care Compare)

Shrewsbury, NJ 07702
Phone (917) 406-0478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Rehabilitation LLC CurrentSince Apr 1, 2022 Accepting new patients
Coastal Home Rehabilitation, LLC CurrentSince Aug 23, 2021 Accepting new patients
Max Health Therapies CurrentSince May 24, 2022 Accepting new patients
Parker Creek Neurorehabilitation PastSince Apr 1, 2022 Accepting new patients

Locations

1405 Route 18
Ste 203
Old Bridge, NJ 08857
Phone (732) 576-3550

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649498940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 COLTS RUN",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 INDUSTRIAL WAY E",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243318",
            "telephone_number": "732-544-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLKOWITZ",
        "first_name": "ROBIN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00038200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.