Active NPI
Tiffany Bautista, MS, OTR
- Occupational Therapist
- Monmouth Junction, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00528600
- Practice address
- 2 Deerpark Dr
Monmouth Junction, NJ 08852-1919 - Phone
- (732) 274-8568
- NPI assigned
- Mar 11, 2014
- 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 | 46TR00528600 | NJ | Primary |
Addresses
Primary practice location
2 Deerpark Dr
Monmouth Junction, NJ 08852-1919
Mailing address
137 Fresh Ponds Rd
Monroe, NJ 08831-3017
Phone (732) 484-0285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141117000539 | NJ | Practitioner - Occupational Therapist in Private Practice | 2769604388 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Schick Chiropractic Center LLCAt Your Best Therapy LLC
Practice addresses (Care Compare)
317 Cleveland Ave
Highland Park, NJ 08904-1817
Phone (732) 249-9800
3405 State Route 33
Neptune, NJ 07753-3442
Phone (732) 918-0663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Your Best Therapy LLC | Current | Accepting new patients | |
| Schick Chiropractic Center, LLC | Current | Accepting new patients | |
| Prestige Rehab LLC | Occupational Therapist | Current | Accepting new patients |
Locations
317 Cleveland Ave
Highland Park, NJ 08904
Phone (732) 249-9800
35 Elizabeth St
New Brunswick, NJ 08901
Phone (732) 238-3800
Organizations & group practices 4
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": "1394496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1801212162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 FRESH PONDS RD",
"city": "MONROE",
"state": "NJ",
"postal_code": "088313017",
"telephone_number": "732-484-0285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 DEERPARK DR",
"city": "MONMOUTH JUNCTION",
"state": "NJ",
"postal_code": "088521919",
"telephone_number": "732-274-8568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUTISTA",
"first_name": "TIFFANY",
"name_prefix": "Mrs.",
"credential": "MS, OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-11",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00528600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monmouth Junction, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.