Andrea Porchiazzo, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00679400 Issued in NJ

Practice address

120 County Rd Ste 101
Tenafly, NJ 07670-1854

Phone

(201) 894-5800

NPI assigned

Jul 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• The Occupational Therapy Center Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tenafly, NJ
  • NPI 1952702573
  NPD (past)

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1649793050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 POPLAR AVE APT 1",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014708",
            "telephone_number": "908-247-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 COUNTY RD STE 101",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701854",
            "telephone_number": "201-894-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCHIAZZO",
        "first_name": "ANDREA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00679400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Ginsberg Petak, PHD
• Vincent Pinghera, PT, DPT
• John Guy Pitman, DMD
• PK Sharma
• Michal H Porath, PT, MS
• Precision Pain and Vascular LLC
• Pretty Feet Podiatry Corp
• PS Medical LLC
• PS Medical PLLC
• Psychiatric Care Professional Association

• Occupational Therapist in Tenafly, NJ
• Providers in Tenafly, 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 Jul 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.