Individual provider Active NPI

Elizabeth Neilan, OT

  • Occupational Therapist
  • Middletown, NJ
National Provider Identifier
1790369171
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1275 Hwy 35 Ste 7
Middletown, NJ 07748-2000
Phone
(326) 390-0068
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

1275 Hwy 35 Ste 7
Middletown, NJ 07748-2000

Mailing address

618 Turner Dr
Belford, NJ 07718-1139
Phone (732) 639-0068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210525000228 NJ Practitioner - Occupational Therapist in Private Practice 1658770656 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therafit Enterprises of New Jersey Incorporated Occupational Therapist Current Accepting new patients
Therafit Enterprises of New Jersey Incorporated Occupational Therapist CurrentSince Mar 29, 2021 Accepting new patients

Locations

443 Highway 34
Ste J
Matawan, NJ 07747
Phone (732) 639-0068

1275 Highway 35
Ste 7
Middletown, NJ 07748
Phone (732) 639-0068

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1790369171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 TURNER DR",
            "city": "BELFORD",
            "state": "NJ",
            "postal_code": "077181139",
            "telephone_number": "732-639-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 HWY 35 STE 7",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482000",
            "telephone_number": "326-390-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILAN",
        "first_name": "ELIZABETH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.