Individual provider Active NPI

Andrid Houtras

  • Occupational Therapist
  • Hamilton, NJ
National Provider Identifier
1760003875
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00291400 Issued in NJ
Practice address
207 Highland Ave
Hamilton, NJ 08620-2910
Phone
(609) 658-3875
NPI assigned
Apr 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 46TR00291400 NJ Primary

Addresses

Primary practice location

207 Highland Ave
Hamilton, NJ 08620-2910

Mailing address

207 Highland Ave
Hamilton, NJ 08620-2910
Phone (609) 658-3875

Other practice location 1

110 Federal City Rd
Lawrence, NJ 08648-1508
Phone (609) 658-3875

Other identifiers 1

IdentifierTypeStateIssuer
46TR00291400OtherNJCERTIFIED AND LICENSED OCCUPATIONAL THERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL tomorrowschildprek@gmail.com Direct

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

LicenseStateTypeSpecialty
46TR00291400NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Pediatric Therapy Limited Liabiltiy Company Single Specialty CurrentSince May 24, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1760003875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HIGHLAND AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086202910",
            "telephone_number": "609-658-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HIGHLAND AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086202910",
            "telephone_number": "609-658-3875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Federal City Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "NJ",
            "postal_code": "086481508",
            "country_code": "US",
            "telephone_number": "609-658-3875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUTRAS",
        "first_name": "ANDRID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00291400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED AND LICENSED OCCUPATIONAL THERAPIST",
            "identifier": "46TR00291400",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tomorrowschildprek@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "207 Highland Ave",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086202910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.