Irene Caballero, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

45TR00443600 Issued in NJ

Practice address

220 Livingston St Ste 112
Northvale, NJ 07647-1739

Phone

(201) 564-7515

NPI assigned

Oct 8, 2018

Last updated

Nov 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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, NY2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

New York University School of Medicine, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Dynamic Physical Therapy and Sports RehabilitationsGroup PAC ID 0042348948, 3 clinicians

Dynamic Physical Therapy at HomeGroup PAC ID 9133460934, 13 clinicians

Dynamic OT at Home PCGroup PAC ID 8123545720, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dynamic OT at Home PC

  • Physical Medicine & Rehabilitation Physician
  • Tappan, NY
  • NPI 1467260638
  Medicare reassignment Care Compare group NPD Authorized official
• Dynamic Physical Therapy at Home

  • Physical Therapist
  • Northvale, NJ
  • NPI 1396219044
  Medicare reassignment Care Compare group NPD
• Dynamic Physical Therapy and Sports Rehabilitations

  • Physical Therapy Clinic/Center
  • Northvale, NJ
  • NPI 1891017034
  Medicare reassignment Care Compare group
• Dynamic Physical Therapy Rehab of Ny P.C.

  • Physical Therapy Clinic/Center
  • Mineola, NY
  • NPI 1134775174
  Medicare reassignment NPD
• Dynamic at Home

  • Rehabilitation Clinic/Center
  • Tappan, NY
  • NPI 1396420626
  NPD Authorized official

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1760957658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LIVINGSTON ST STE 112",
            "city": "NORTHVALE",
            "state": "NJ",
            "postal_code": "076471739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LIVINGSTON ST STE 112",
            "city": "NORTHVALE",
            "state": "NJ",
            "postal_code": "076471739",
            "telephone_number": "201-564-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "IRENE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "45TR00443600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Beck, M.S., CCC-SLP
• Christine Bendul
• Bergen-Rockland Dental Associates LLC
• Bo Orthodontics
• Kristen Jill Bradley, R.D.
• John Michael Carnevale, D.M.D.
• Mirry Choi, RPH
• Veronica E Choi, D.D.S
• Company Medical Associates
• Charles Cuttler Jr., COTA

• Occupational Therapist in Northvale, NJ
• Providers in Northvale, 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 Nov 9, 2018; 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.