Hannah Proodian, OTR
Individual provider Active NPI Occupational Therapist · Long Branch, NJ
NPI 1669221925 · NPPES record last updated May 17, 2024
Key facts
- NPI
- 1669221925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 46TR01184500 (NJ)
- Practice address
- 10 W End CT
Long Branch, NJ 07740-5172 - Phone
- (732) 222-2219
- Fax
- (732) 229-8863
- NPI assigned
- May 17, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Natural Medicine and Rehabilitation Center, PA
Natural Healthcare Center of West End, LLC
Practice addresses (Care Compare)
10 W End Court
2ND Floor
Long Branch, NJ 07740-5172
Phone (732) 222-7799
10 W End CT
Long Branch, NJ 07740-5172
Phone (732) 222-2219
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240607000655 | NJ | Practitioner - Occupational Therapist in Private Practice | 0840732681 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Medicine & Rehabilitation Center, PA | Current |
Accepting new patients | |
| Natural Healthcare Center of West End, LLC | Current |
Accepting new patients | |
| Natural Healthcare Center of Middletown, LLC | Past |
Accepting new patients |
Locations
10 W End Ct
Long Branch, NJ 07740
Phone (732) 222-2219
10 W End Ct
Fl 2
Long Branch, NJ 07740
Phone (732) 222-7799
399 Campus Dr
Ste 110
Somerset, NJ 08873
Phone (908) 252-0242
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR01184500 | NJ | Yes |
Addresses
Primary practice location
10 W End CT
Long Branch, NJ 07740-5172
Mailing address
10 W End CT
Long Branch, NJ 07740-5172
Phone (732) 222-2219
Other providers in Long Branch, NJ
- Paul John Poliviou
- Shatiera Myesha Portee
- Possibilities Plus, LLC
- Richard Primavera
- Alissa Principato
- James Proodian
- Propel Rehabilitation & Wellness LLC
- PT on the Go PC
- Erin Marie Qualter
- Quickstar Laboratories
All providers in Long Branch, NJ · Occupational Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.