Individual provider Active NPI

Rina Tyszler-Mogul, OTR, CLT

  • Occupational Therapist
  • Westwood, NJ
National Provider Identifier
1679708911
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00481600 Issued in NJ
Practice address
24 Booker Street
Westwood, NJ 07675
Phone
(201) 822-0100
Fax
(201) 822-0107
NPI assigned
May 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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 46TR00481600 NJ Primary

Addresses

Primary practice location

24 Booker Street
Westwood, NJ 07675

Mailing address

249 Churchill Rd
Teaneck, NJ 07666-3009

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00481600NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Form & Function, LLC Occupational Therapist CurrentSince May 5, 2025 Accepting new patients

Locations

1029 Teaneck Rd
Ste 2E
Teaneck, NJ 07666
Phone (201) 887-2409

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1679708911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 CHURCHILL RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BOOKER STREET",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-822-0100",
            "fax_number": "201-822-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSZLER-MOGUL",
        "first_name": "RINA",
        "credential": "OTR, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00481600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.