Active NPI
Mary Beth Ebert, OTR
- Occupational Therapist
- Colts Neck, NJ
National Provider Identifier
1750525796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 009134-1
- Practice address
- 7 Olden CT
Colts Neck, NJ 07722-1441 - Phone
- (732) 740-9681
- Fax
- (732) 761-0708
- NPI assigned
- Apr 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 009134-1 | NY | Primary |
Addresses
Primary practice location
7 Olden CT
Colts Neck, NJ 07722-1441
Mailing address
7 Olden CT
Colts Neck, NJ 07722-1441
Phone (732) 740-9681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009134-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1750525796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 OLDEN CT",
"city": "COLTS NECK",
"state": "NJ",
"postal_code": "077221441",
"telephone_number": "732-740-9681",
"fax_number": "732-761-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 OLDEN CT",
"city": "COLTS NECK",
"state": "NJ",
"postal_code": "077221441",
"telephone_number": "732-740-9681",
"fax_number": "732-761-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERT",
"first_name": "MARY",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "009134-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colts Neck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.