Micaela Herrmann, OTR

Key facts

NPI

1700551306

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapist 225X00000X

License

46TR00951800 (NJ)

Practice address

135 Columbia Tpke Ste 302
Florham Park, NJ 07932-2189

Phone

(917) 922-4910

NPI assigned

Aug 16, 2021

Sex

Female

Sole proprietor

No

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.

• Kornerstone Kids, LLC Pediatric Occupational Therapist · Florham Park, NJ · NPI 1497014583
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 16, 2021.

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1700551306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 UPLAND WAY",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COLUMBIA TPKE STE 302",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322189",
            "telephone_number": "917-922-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "MICAELA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00951800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

• Katherine Hearn, M.S. CCC-SLP
• Erin Hedinger
• Caroline Davis Heidt, D.M.D.
• Helix Dental, LLP
• Lauren Michele Hennion, MSW, LCSW
• Alexandra Jane Higdon, AU.D.
• Sydney Hiserodt
• Deborah Lynn Hohenleitner, LICENSED MASSAGE
• Kristina Holman, LCSW
• Alan David Holzman, PH.D. LCSW

All providers in Florham Park, NJ · Occupational Therapist in New Jersey