Amanda Grace Sosunov, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01009900 Issued in NJ

Practice address

459 Watchung Ave
Watchung, NJ 07069-4945

Phone

(908) 274-0988

NPI assigned

Jun 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Grace Falsetta Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Medical Group of SomersetGroup PAC ID 0941612360, 23 clinicians

Performance Medical of Watchung LLCGroup PAC ID 8628312501, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Performance Medical Group of Somerset

  dba Performance Rehabilitation & Regenerative Medicine

  • Physical Medicine & Rehabilitation Physician
  • Somerset, NJ
  • NPI 1780287326
  Medicare reassignment Care Compare group NPD
• Performance Medical of Watchung LLC

  • Physical Medicine & Rehabilitation Physician
  • Watchung, NJ
  • NPI 1518477918
  Medicare reassignment Care Compare group NPD
• Performance Medical Group of Branchburg LLC

  dba Performance Rehabilitation & Regenerative Medicine

  • Physical Medicine & Rehabilitation Physician
  • Branchburg, NJ
  • NPI 1679075642
  Medicare reassignment NPD
• Performance Medical Group of Hillsborough LLC

  • Pain Medicine (Anesthesiology) Physician
  • Hillsborough, NJ
  • NPI 1487483095
  Medicare reassignment NPD
• Modern Movement LLC

  • Physical Therapy Clinic/Center
  • Basking Ridge, NJ
  • NPI 1689506867
  NPD Authorized official
• Performance Medical Group of Branchburg LLC

  dba Performance Rehabilitation and Regenerative Medicine

  • Physical Medicine & Rehabilitation Physician
  • Somerset, NJ
  • NPI 1336753243
  NPD
• Bright Start Speech Pathology and Language PC

  • Speech-Language Pathologist
  • Staten Island, NY
  • NPI 1508998196
  NPD (past)

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1851961254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 WATCHUNG AVE",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070694945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 WATCHUNG AVE",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070694945",
            "telephone_number": "908-274-0988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 English Pl",
            "address_purpose": "LOCATION",
            "city": "Basking Ridge",
            "state": "NJ",
            "postal_code": "079202741",
            "country_code": "US",
            "telephone_number": "516-790-2553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2-22 Banta Pl",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074103058",
            "country_code": "US",
            "telephone_number": "732-784-3578",
            "fax_number": "732-924-3147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOSUNOV",
        "first_name": "AMANDA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01009900",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FALSETTA",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pavel Siutsou, CRNA
• Derrell Sloane
• Mark Slotnick, RPH.
• Soma Vita Physio & Wellness LLC
• Marci Hope Sonenblum, LPC
• Ronald Raymond Spiaggia, DC
• Mark T Spratford, DC
• Howard Springer, O.D.
• Laura Stemmler
• Robert Christopher Stucky, M.D.

• Occupational Therapist in Watchung, NJ
• Providers in Watchung, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.

Verify at the official NPI Registry.