Individual provider Active NPI

Kathleen Ann Rycek, OTR/L

  • Occupational Therapist
  • Sewell, NJ
National Provider Identifier
1861401689
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00080400 Issued in NJ
Practice address
570 Egg Harbor Rd
Suite B6
Sewell, NJ 08080-2359
Phone
(856) 218-8050
NPI assigned
Aug 8, 2006
Last updated
Jul 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00080400 NJ Primary

Addresses

Primary practice location

570 Egg Harbor Rd
Suite B6
Sewell, NJ 08080-2359

Mailing address

20 Sugarmaple LN
Sicklerville, NJ 08081-3037
Phone (856) 875-8046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130506000239 NJ Practitioner - Occupational Therapist in Private Practice 0446497770 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Osprey Rehabilitation, LLC. CurrentSince Oct 9, 2023 Accepting new patients
Osprey Rehabilitation, LLC. Current Accepting new patients
Rehabclinics SPT Inc. CurrentSince Apr 23, 2023 Accepting new patients
Osprey Rehabilitation, LLC. Occupational Therapist CurrentSince Oct 9, 2023 Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

2144 US Highway 130
Ste 12
Bordentown, NJ 08505
Phone (609) 324-9320

801 Tilton Rd
Northfield, NJ 08225
Phone (609) 645-0505

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1861401689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUGARMAPLE LN",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080813037",
            "telephone_number": "856-875-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 EGG HARBOR RD",
            "address_2": "SUITE B6",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802359",
            "telephone_number": "856-218-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYCEK",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00080400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.