Mark Lancel Trespalacioreal Rayos del Sol, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

46TR00623700 Issued in NJ

Practice address

787 Northfield Ave
Rehab Dept
West Orange, NJ 07052

Phone

(973) 731-4500

NPI assigned

Feb 28, 2018

Sex

Male

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

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 and National Provider Directory roles.

• Ardent Rehab of NJ LLC

  • Rehabilitation Practitioner
  • Union, NJ
  • NPI 1558127738
  Medicare reassignment NPD
• Excellent Homecare of NJ LLC

  • Physical Therapist
  • Wayne, NJ
  • NPI 1427602549
  Medicare reassignment NPD

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1760983373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SHARON DR",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363429",
            "telephone_number": "973-842-1325",
            "fax_number": "973-842-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 NORTHFIELD AVE",
            "address_2": "REHAB DEPT",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-731-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYOS DEL SOL",
        "first_name": "MARK LANCEL",
        "middle_name": "TRESPALACIOREAL",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NJ",
            "license": "46TR00623700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Ramzy, DO
• Jacklyn Yacenda Ranalli, MS, RD
• Amy Rose Rasmusson, OTR/L
• Hedwig N Ratemo, NP
• Raydiant Aesthetics & Wellness LLC
• Kassandra Reagan, PT, DPT
• Maria L Rebelo, LCSW
• Janelle Rebustes
• Mahidhar Mahasamudram Reddy, MD
• Aimee Redisch

• Physical Rehabilitation Occupational Therapist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Physical Rehabilitation Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.