Active NPI
Charisse Satchell, OTR/L
- Occupational Therapist
- Irvington, NJ
National Provider Identifier
1770064677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00484400
- Practice address
- 34 Union Ave
Irvington, NJ 07111-3219 - Phone
- (862) 772-3797
- NPI assigned
- Aug 28, 2018
- 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 | 46TR00484400 | NJ | Primary |
Addresses
Primary practice location
34 Union Ave
Irvington, NJ 07111-3219
Mailing address
57 Ridge Ave
Bloomfield, NJ 07003-3840
Phone (201) 697-6640
Other names 1
- Charisse Torres
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 |
|---|---|---|---|
| 46TR00484400 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659139200000",
"number": "1770064677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 RIDGE AVE",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033840",
"telephone_number": "201-697-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 UNION AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071113219",
"telephone_number": "862-772-3797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATCHELL",
"first_name": "CHARISSE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2022-07-30",
"certification_date": "2022-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00484400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARISSE",
"last_name": "TORRES",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.