Active NPI
Michele Serrano, COTA
- Occupational Therapy Assistant
- Lanoka Harbor, NJ
National Provider Identifier
1700599727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 469470
- Practice address
- 601 US Highway 9
Lanoka Harbor, NJ 08734-2213 - Phone
- (609) 242-2661
- NPI assigned
- Jan 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 469470 | NJ | Primary |
Addresses
Primary practice location
601 US Highway 9
Lanoka Harbor, NJ 08734-2213
Mailing address
27 Wright Rd
Barnegat, NJ 08005-1316
Phone (732) 552-8551
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 469470 | NJ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1700599727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 WRIGHT RD",
"city": "BARNEGAT",
"state": "NJ",
"postal_code": "080051316",
"telephone_number": "732-552-8551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 US HIGHWAY 9",
"city": "LANOKA HARBOR",
"state": "NJ",
"postal_code": "087342213",
"telephone_number": "609-242-2661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "MICHELE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NJ",
"license": "469470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lanoka Harbor, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.