Victoria Lee Petruzziello, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00855000 Issued in NJ

Practice address

230 Division St
Manahawkin, NJ 08050-3130

Phone

(609) 607-7400

Fax

(609) 488-5654

NPI assigned

Oct 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Victoria Lee Bueti Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1679114649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 DIVISION ST",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503130",
            "telephone_number": "609-607-7400",
            "fax_number": "609-488-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 DIVISION ST",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503130",
            "telephone_number": "609-607-7400",
            "fax_number": "609-488-5654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Hooper Ave Unit 2",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087538319",
            "country_code": "US",
            "telephone_number": "848-251-5355",
            "fax_number": "848-224-4462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRUZZIELLO",
        "first_name": "VICTORIA",
        "middle_name": "LEE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00855000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@seashoreptc.com",
            "affiliation": "N",
            "address_1": "230 Division St",
            "city": "Manahawkin",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080503130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "BUETI",
            "middle_name": "LEE",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Manahawkin, NJ
• Providers in Manahawkin, 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 Oct 1, 2019; 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.