Active NPI
Melissa Costanza, OTR/L
- Occupational Therapist
- Shrewsbury, NJ
National Provider Identifier
1831967553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR01152500
- Practice address
- 766 Broad St
Shrewsbury, NJ 07702-4203 - Phone
- (855) 428-8246
- Fax
- (855) 428-8246
- NPI assigned
- Dec 12, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 46TR01152500 | NJ | Primary |
Addresses
Primary practice location
766 Broad St
Shrewsbury, NJ 07702-4203
Mailing address
831 Timber Ridge CT
Neptune, NJ 07753-3032
Phone (732) 403-5660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231220000731 | NJ | Practitioner - Occupational Therapist in Private Practice | 8921458746 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthpro Heritage Rehab and Fitness LLCAttain Physical Therapy
Practice addresses (Care Compare)
201 Wyckoff Rd
Brightview Eatontown
Eatontown, NJ 07724-1905
Phone (848) 275-2768
766 Broad St
Shrewsbury, NJ 07702-4203
Phone (855) 428-8246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Attain Physical Therapy | Current | Accepting new patients | |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1275 Bloomfield Ave
Ste 60
Fairfield, NJ 07004
Organizations & group practices 25
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.
-
- Physical Therapist
- Saddle River, NJ
- NPI 1689022295
NJ, Occupational Therapist
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
Occupational Therapist
-
- Physical Therapist
- Merrillville, IN
- NPI 1053833657
-
- Physical Therapist
- Tallulah, LA
- NPI 1154852382
-
- Physical Therapist
- Abington, PA
- NPI 1235653403
-
- Physical Therapist
- Mountain Home, AR
- NPI 1235780115
-
- Physical Therapist
- Menomonee Falls, WI
- NPI 1245755487
-
- Physical Therapist
- Boulder, CO
- NPI 1376038646
-
- Physical Therapist
- Clinton, TN
- NPI 1376073262
-
- Physical Therapist
- Dallas, OR
- NPI 1376272732
-
- Physical Therapist
- Brownstown TWP, MI
- NPI 1457868937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1831967553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 TIMBER RIDGE CT",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077533032",
"telephone_number": "732-403-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "766 BROAD ST",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024203",
"telephone_number": "855-428-8246",
"fax_number": "855-428-8246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTANZA",
"first_name": "MELISSA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-12",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR01152500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.