Kate Packer

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01127900 Issued in NJ

Practice address

1135 E Veterans Hwy Ste 104
Jackson, NJ 08527-5092

Phone

(732) 352-9037

NPI assigned

Jun 28, 2024

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

Other names 1

• Kate Eidman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1770328908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 TEANECK RD APT 545",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663662",
            "telephone_number": "201-657-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 E VETERANS HWY STE 104",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275092",
            "telephone_number": "732-352-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01127900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "EIDMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Ortiz
• Rebecca Osidach, BCBA
• Nathan James Ostler, D.D.S.
• Jacqueline Louise Ostrander, CCC-SLP
• Gabriel Ouellette, PHARM.D
• Jennifer Padilla, BCBA
• Lauren H Parkes, D.O.
• Gina Parrotta
• Aalap Patel
• Archis B Patel

• Occupational Therapist in Jackson, NJ
• Providers in Jackson, 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 Jun 28, 2024; 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.