Active NPI
Ryan Delacruz, OTR/L
- Occupational Therapist
- Lakewood, NJ
National Provider Identifier
1720873623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR01239000
- Practice address
- 400 NJ-70 #1
Lakewood, NJ 08701 - Phone
- (866) 959-2846
- NPI assigned
- Apr 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 46TR01239000 | NJ | Primary |
Addresses
Primary practice location
400 NJ-70 #1
Lakewood, NJ 08701
Mailing address
342 Chestnut Ave
Woodlynne, NJ 08107-2106
Phone (856) 761-4728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250430002798 | NJ | Practitioner - Occupational Therapist in Private Practice | 0143746321 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01239000 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home by Enhance Therapies LLC | Occupational Therapist | Current | Accepting new patients |
Locations
411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833
400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512
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.
-
- Physical Therapist
- Lakewood, NJ
- NPI 1124603246
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1720873623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 CHESTNUT AVE",
"city": "WOODLYNNE",
"state": "NJ",
"postal_code": "081072106",
"telephone_number": "856-761-4728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 NJ-70 #1",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "08701",
"telephone_number": "866-959-2846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELACRUZ",
"first_name": "RYAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-11",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR01239000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.