Active NPI
Irmadel Galve Vertucio, OTR/L
- Occupational Therapist
- Edison, NJ
National Provider Identifier
1841640422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.011549
- Practice address
- 4 Ethel Rd
Suite 403B
Edison, NJ 08817-2841 - Phone
- (732) 549-2030
- NPI assigned
- Jun 15, 2016
- 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 | 056.011549 | IL | Primary |
Addresses
Primary practice location
4 Ethel Rd
Suite 403B
Edison, NJ 08817-2841
Mailing address
66 Stephenville Pkwy
Edison, NJ 08820-2609
Phone (732) 259-0071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 N Dunlap Ave
Unit 452
Savoy, IL 61874-1032
Phone (217) 898-8393
501 Trefoil
Savoy, IL 61874-8511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.011549 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savoy Therapy Services Inc | Occupational Therapist | Current | Accepting new patients |
Locations
415 N Dunlap Ave
Unit 452
Savoy, IL 61874
Phone (217) 898-8393
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1841640422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 STEPHENVILLE PKWY",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202609",
"telephone_number": "732-259-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 ETHEL RD",
"address_2": "SUITE 403B",
"city": "EDISON",
"state": "NJ",
"postal_code": "088172841",
"telephone_number": "732-549-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERTUCIO",
"first_name": "IRMADEL",
"middle_name": "GALVE",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.011549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.