Individual provider Active NPI

Maureen Patricia Balawich, OTRL

  • Occupational Therapist
  • Cape May Court House, NJ
National Provider Identifier
1821116815
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00110600 Issued in NJ
Practice address
144 Magnolia Dr
Cape May Court House, NJ 08210-2141
Phone
(609) 465-7171
NPI assigned
Mar 27, 2007
Last updated
Feb 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC006756L PA
Occupational Therapist 225X00000X 46TR00110600 NJ Primary

Addresses

Primary practice location

144 Magnolia Dr
Cape May Court House, NJ 08210-2141

Mailing address

110 Aberdeen Way
Rio Grande, NJ 08242-1054
Phone (609) 465-5885

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00110600NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Rehabilitation Associates, LLC Occupational Therapist PastSince Jan 31, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1821116815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ABERDEEN WAY",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421054",
            "telephone_number": "609-465-5885",
            "fax_number": "609-465-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MAGNOLIA DR",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102141",
            "telephone_number": "609-465-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAWICH",
        "first_name": "MAUREEN",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC006756L",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00110600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.