Active NPI
Princess Sarah Padilla
- Occupational Therapy Assistant
- Paterson, NJ
National Provider Identifier
1750948675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 46TA09162800
- Practice address
- 269 Burlington Ave
Paterson, NJ 07502-1302 - Phone
- (973) 997-3388
- NPI assigned
- May 27, 2019
- 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 Therapy Assistant | 224Z00000X | 46TA09162800 | NJ | Primary |
Addresses
Primary practice location
269 Burlington Ave
Paterson, NJ 07502-1302
Mailing address
269 Burlington Ave
Paterson, NJ 07502-1302
Phone (973) 997-3388
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 |
|---|---|---|---|
| 46TA09162800 | NJ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558915200000",
"number": "1750948675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 BURLINGTON AVE",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075021302",
"telephone_number": "973-997-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 BURLINGTON AVE",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075021302",
"telephone_number": "973-997-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "PRINCESS SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-27",
"last_updated": "2019-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "NJ",
"license": "46TA09162800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.