Individual provider Active NPI

Jo Ann T Marquez, OT

  • Occupational Therapist
  • Fair Lawn, NJ
National Provider Identifier
1730303512
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00328500 Issued in NJ
Practice address
28-12 Broadway
Fair Lawn, NJ 07410-3924
Phone
(201) 475-8482
Fax
(210) 475-8139
NPI assigned
Apr 12, 2007
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00328500 NJ Primary
Occupational Therapist 225X00000X OT7108 CA

Addresses

Primary practice location

28-12 Broadway
Fair Lawn, NJ 07410-3924

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200

Other practice location 1

356 Village Ct
Fort Lee, NJ 07024-2165
Phone (201) 753-2448

Other names 1

  • Ms. Jo Ann Gallardo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091124000043 NJ Practitioner - Occupational Therapist in Private Practice 6204975774 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holsman Physical and Occupational Therapy PCGroup PAC ID 8426294455, 17 clinicians
Home Therapy, LLCGroup PAC ID 9931252848, 10 clinicians
Holsman Physical Therapy and Wellness PCGroup PAC ID 2062666910, 24 clinicians

Practice addresses (Care Compare)

15 -01 Broadway
Suite 12
Fair Lawn, NJ 07410-6018
Phone (201) 355-5199

1700 State RT
Suite 3
Clifton, NJ 07013-3928
Phone (862) 591-1000

44 Park St
Bloomfield, NJ 07003-2575
Phone (973) 685-2335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT7108CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holsman Physical and Occupational Therapy, PC Occupational Therapist CurrentSince Aug 23, 2023 Accepting new patients
Ivyrehab Network Inc. Occupational Therapist Current Accepting new patients
Home Therapy, LLC Occupational Therapist CurrentSince Aug 23, 2023 Accepting new patients
Holsman Physical Therapy and Wellness PC CurrentSince Aug 23, 2023 Accepting new patients
Holsman Physical Therapy and Rehabilitation PC Occupational Therapist CurrentSince May 5, 2024 Accepting new patients
Liberty Physical Therapy PC Occupational Therapist CurrentSince Aug 6, 2020 Accepting new patients
Ivyrehab Network, Inc. Occupational Therapist CurrentSince Nov 25, 2020 Accepting new patients
Ivyrehab Network Inc Occupational Therapist CurrentSince Nov 25, 2020 Accepting new patients
United Sports Care & Physical Therapy Occupational Therapist CurrentSince Jan 23, 2020 Accepting new patients
Madison Spine and Physicaltherapy, Inc. Past Accepting new patients
Holsman Physical and Occupational Therapy PC Occupational Therapist PastSince Feb 19, 2023 Accepting new patients
Madison Spine Limited Partnership Past Accepting new patients

Locations

408 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 433-0732

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

1700 State Rt 3
Clifton, NJ 07013
Phone (862) 249-4901

925 Clifton Ave
Ste 102
Clifton, NJ 07013
Phone (973) 330-0705

15-01 Broadway
Ste 12
Fair Lawn, NJ 07410
Phone (201) 355-5199

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

115 Christopher Columbus Dr
Ste 300
Jersey City, NJ 07302
Phone (201) 366-1115

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

764 Main St
Ste 401
Paterson, NJ 07503
Phone (973) 705-7255

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

530 Lakehurst Rd
Ste 202204
Toms River, NJ 08755
Phone (732) 349-1201

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1730303512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28-12 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103924",
            "telephone_number": "201-475-8482",
            "fax_number": "210-475-8139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "356 Village Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Lee",
            "state": "NJ",
            "postal_code": "070242165",
            "country_code": "US",
            "telephone_number": "201-753-2448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "JO ANN",
        "middle_name": "T",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00328500",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT7108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JO ANN",
            "last_name": "GALLARDO",
            "prefix": "MS.",
            "credential": "OT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.