Etosha D Whitaker-Kaba, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00531200 Issued in NJ

Practice address

406 Eastgate Dr
Monmouth Junction, NJ 08852-2614

Phone

(215) 220-5366

NPI assigned

Sep 16, 2010

Sex

Female

Sole proprietor

Yes

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

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Link Home Services of NJ LLC

  • Physical Therapy Clinic/Center
  • Englewood Cliffs, NJ
  • NPI 1972072585
  Medicare reassignment NPD
• Recover Physical Therapy and Wellness

  • Physical Therapist
  • Laurel Springs, NJ
  • NPI 1053200162
  NPD (past)

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1730497371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 EASTGATE DR",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 EASTGATE DR",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522614",
            "telephone_number": "215-220-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER-KABA",
        "first_name": "ETOSHA",
        "middle_name": "D",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00531200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nely Vasquez-Garcia, LPC
• Noelia Vicente, LSW
• Vidhata Genomics LLC
• Vital Therapy Services LLC
• Justin Daniel Werder, LAC
• David Berton White, LPC
• Ling Yang, DMD
• Ciani Young, LPC
• Muhammad Shabbir Yusuf, MD
• Linda Zellous

• Occupational Therapist in Monmouth Junction, NJ
• Providers in Monmouth Junction, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.

Verify at the official NPI Registry.