Phyllis Edwards, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09011100 Issued in NJ

Practice address

3809 Bayshore Rd
North Cape May, NJ 08204-3259

Phone

(609) 898-5323

NPI assigned

Jan 25, 2012

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

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": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1720359557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 OLD AVALON BLVD",
            "city": "AVALON",
            "state": "NJ",
            "postal_code": "082021808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 BAYSHORE RD",
            "city": "NORTH CAPE MAY",
            "state": "NJ",
            "postal_code": "082043259",
            "telephone_number": "609-898-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "PHYLLIS",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09011100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Carlos Colon, OTR/L
• Complete Care at Victoria Commons LLC
• Lindsey T Delollis, APN
• Andrew F Drake, D.O,
• Teri Dugan, LPN
• Richard Fellows
• Amanda Nicole Fleisher
• Joyce Marian Flynn-Monaco
• Fresenius Medical Care North Cape May, LLC
• Erin Lang Fucci

• Occupational Therapy Assistant in North Cape May, NJ
• Providers in North Cape May, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.