NPIMap

Organization Active NPI

Colts Neck Occupational Therapy, LLC

  • Pediatric Occupational Therapist
  • Colts Neck, NJ
National Provider Identifier
1831447846
Registry record updated Aug 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR00391400 Issued in NJ
Legal business name
COLTS NECK OCCUPATIONAL THERAPY, LLC
Practice address
281 Route 34
Suite 807
Colts Neck, NJ 07722-2439
Phone
(732) 308-4366
Fax
(732) 761-0075
NPI assigned
Aug 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2012

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

Authorized official

Name
Denise BuckleyNPI 1942558952
Title
Co-Owner Occupational Therapist
Phone
(732) 308-4366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 46TR00391400 NJ Primary

Addresses

Primary practice location

281 Route 34
Suite 807
Colts Neck, NJ 07722-2439

Mailing address

281 Route 34
Suite 807
Colts Neck, NJ 07722-2439
Phone (732) 308-4366

National Provider Directory

National Provider Directory

Locations

281 State Route 34
Ste 807
Colts Neck, NJ 07722
Phone (732) 308-4366

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345593600000",
    "number": "1831447846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 ROUTE 34",
            "address_2": "SUITE 807",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222439",
            "telephone_number": "732-308-4366",
            "fax_number": "732-761-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 ROUTE 34",
            "address_2": "SUITE 807",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222439",
            "telephone_number": "732-308-4366",
            "fax_number": "732-761-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLTS NECK OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-22",
        "last_updated": "2012-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CO-OWNER OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "732-308-4366"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00391400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.