Individual provider Active NPI

Betty H Kay, OTR/L

  • Occupational Therapist
  • Teaneck, NJ
National Provider Identifier
1669657722
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00129200 Issued in NJ
Practice address
1415 Queen Anne Rd
204
Teaneck, NJ 07666-3521
Phone
(718) 753-7655
Fax
(201) 357-4395
NPI assigned
Jan 7, 2008
Last updated
Jan 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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 46TR00129200 NJ Primary

Addresses

Primary practice location

1415 Queen Anne Rd
204
Teaneck, NJ 07666-3521

Mailing address

1415 Queen Anne Rd
204
Teaneck, NJ 07666-3521
Phone (718) 753-7655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080530000091 NJ Practitioner - Occupational Therapist in Private Practice 2769552942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
State University of New York Downstate Medical Center, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

573 Warwick Ave
Teaneck, NJ 07666-2928
Phone (718) 753-7655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00129200NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Fitness of Teaneck LLC Occupational Therapist CurrentSince Feb 25, 2008 Accepting new patients

Locations

1415 Queen Anne Rd
Ste 204
Teaneck, NJ 07666
Phone (718) 753-7655

Organizations & group practices 1

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1669657722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 QUEEN ANNE RD",
            "address_2": "204",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663521",
            "telephone_number": "718-753-7655",
            "fax_number": "201-357-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 QUEEN ANNE RD",
            "address_2": "204",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663521",
            "telephone_number": "718-753-7655",
            "fax_number": "201-357-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAY",
        "first_name": "BETTY",
        "middle_name": "H",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00129200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.