Ayano Nicole Endo, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01070000 Issued in NJ

Practice address

459 Watchung Ave
Watchung, NJ 07069-4945

Phone

(908) 274-0988

NPI assigned

Aug 22, 2022

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

Specialty

Occupational Therapist in Private Practice

Education

Jefferson Medical College of Thomas Jefferson University, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Medical Group of Branchburg LLCGroup PAC ID 9234486945, 22 clinicians

Performance Medical Group of SomersetGroup PAC ID 0941612360, 23 clinicians

Performance Medical of Watchung LLCGroup PAC ID 8628312501, 22 clinicians

Practice addresses (Care Compare)

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.

• Performance Medical Group of Somerset

  • Physical Medicine & Rehabilitation Physician
  • Somerset, NJ
  • NPI 1780287326
  Medicare reassignment Care Compare group NPD
• Performance Medical of Watchung LLC

  • Physical Medicine & Rehabilitation Physician
  • Watchung, NJ
  • NPI 1518477918
  Medicare reassignment Care Compare group NPD
• Performance Medical Group of Branchburg LLC

  • Physical Medicine & Rehabilitation Physician
  • Branchburg, NJ
  • NPI 1679075642
  Medicare reassignment Care Compare group
• Performance Medical Group of Hillsborough LLC

  • Pain Medicine (Anesthesiology) Physician
  • Hillsborough, NJ
  • NPI 1487483095
  Medicare reassignment NPD

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1740909035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 THURSTON TER",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074522910",
            "telephone_number": "201-665-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 WATCHUNG AVE",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070694945",
            "telephone_number": "908-274-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDO",
        "first_name": "AYANO",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01070000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dream Sleep Wellness LLC
• Dreamland Anesthesia Limited Liability Co
• Edward S. Rachlin, MD, Facs, PA
• Richard R. Eisenberg, M.D.
• Enable, Inc.
• Trisha Kristine Espinoza, M.A, ED.S., L.P.C.
• Essex Healthcare LLC
• Dana M Ewen, ATC
• Eyexam Group - Watchung PA
• Diane Fahmy

• Occupational Therapist in Watchung, NJ
• Providers in Watchung, 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 Aug 22, 2022; 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.