Individual provider Active NPI

Theresa A Cherico, COTA

  • Occupational Therapy Assistant
  • Saddle Brook, NJ
National Provider Identifier
1649552852
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
7918729521 Issued in NJ
Practice address
106 Jamros Ter
Saddle Brook, NJ 07663-5119
Phone
(201) 300-6615
NPI assigned
Sep 13, 2011
Last updated
Sep 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 7918729521 NJ Primary

Addresses

Primary practice location

106 Jamros Ter
Saddle Brook, NJ 07663-5119

Mailing address

106 Jamros Ter
Saddle Brook, NJ 07663-5119
Phone (201) 300-6615

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7918729521NJMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1649552852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 JAMROS TER",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635119",
            "telephone_number": "201-300-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 JAMROS TER",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635119",
            "telephone_number": "201-300-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERICO",
        "first_name": "THERESA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "7918729521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.