Breast Rehabilitation & Healing Center

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

46TR000935000 Issued in NJ

Legal business name

BREAST REHABILITATION & HEALING CENTER

Practice address

99 Kinderkamack Rd Ste 204
Westwood, NJ 07675-3020

Phone

(201) 497-6175

Fax

(201) 497-6212

NPI assigned

May 11, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Kelli Christina Anderson, OTR/CHT/CLTNPI 1992857775

Title

Owner

Phone

(201) 497-6175

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelli Christina Anderson, OTR/L; CHT

  • Specialist
  • Westwood, NJ
  • NPI 1992857775
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Yosco, OTR

  • Occupational Therapist
  • Paramus, NJ
  • NPI 1871019497
  Medicare reassignment Care Compare group NPD
• Lisa J Pignataro, OTR/L

  • Occupational Therapist
  • North Bergen, NJ
  • NPI 1669964037
  NPD
• Brittany Tierney

  • Occupational Therapy Assistant
  • Westwood, NJ
  • NPI 1013664135
  NPD
• Madeline List, OTR/L

  • Occupational Therapist
  • Forked River, NJ
  • NPI 1871154658
  NPD (past)

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1851619225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK ROAD SUITE 204",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753012",
            "telephone_number": "201-497-6175",
            "fax_number": "201-497-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK RD STE 204",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753020",
            "telephone_number": "201-497-6175",
            "fax_number": "201-497-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST REHABILITATION & HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-497-6175",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/CHT/CLT"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NJ",
            "license": "46TR000935000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikhail A Botvinov, D.O.
• Mina Boulos, M.D., D.M.D.
• Laurie A Bovino, DMD
• Bray Orthotics and Prosthetics LLC
• Breast Fit
• Neal G Breit, M.D.
• Broadway Dental Associates, P.a.
• Broadway Medical Supply Company Inc. (Broadway Medical)
• Alice Bromberg, CPNP
• Mark Lewis Bromberg, DMD

• Physical Rehabilitation Occupational Therapist in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Physical Rehabilitation Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.