Jill M. Chroback, MS, OTR/L, ATP

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00353000 Issued in NJ

Practice address

1060 Main St
River Edge, NJ 07661-2591

Phone

(201) 833-0234

Fax

(201) 645-4735

NPI assigned

Mar 12, 2018

Sex

Female

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

Credentials

Master of Science

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.

• Back to Health Physical Therapy Associates, P.a.

  • Physical Therapist
  • Teaneck, NJ
  • NPI 1174712178

  NJ, Single Specialty

  Medicare reassignment Care Compare group NPD
• Metro Physical Therapy LLC

  • Physical Therapist
  • Garden City, NY
  • NPI 1144028796

  NJ, Single Specialty

  Medicare reassignment NPD

Specialty

Occupational Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back to Health Physical Therapy Associates PA 15 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1790288249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 WAYNE AVE",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611105",
            "telephone_number": "201-805-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 MAIN ST",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612591",
            "telephone_number": "201-833-0234",
            "fax_number": "201-645-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHROBACK",
        "first_name": "JILL",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L, ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00353000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark David Chapman, LCSW
• Justin Daniel Chernick, MSW, LSW
• Aditi Chhada, M.D.
• Sung Hee Cho, DDS, MD
• Kaitlyn Choi
• Catherine D. Colwell
• Community Options, Inc
• Emily Marianna Condal, LAC
• Amy Consovoy, LPC, LCADC
• Sandra Ellen Coppola, MS

• All providers in River Edge, NJ
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.