Individual provider Active NPI

Joanne E Petrunik, OT CHT

  • Hand Occupational Therapist
  • Morristown, NJ
National Provider Identifier
1861474512
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
46TR00297400 Issued in NJ
Practice address
111 Madison Ave Ste 303
Morristown, NJ 07960-7359
Phone
(973) 267-0991
Fax
(973) 267-0930
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 46TR00297400 NJ Primary

Addresses

Primary practice location

111 Madison Ave Ste 303
Morristown, NJ 07960-7359

Mailing address

1259 Route 46
Building #3
Parsippany, NJ 07054-4909
Phone (973) 334-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005252NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1861474512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 ROUTE 46",
            "address_2": "BUILDING #3",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544909",
            "telephone_number": "973-334-4321",
            "fax_number": "973-334-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MADISON AVE STE 303",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607359",
            "telephone_number": "973-267-0991",
            "fax_number": "973-267-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUNIK",
        "first_name": "JOANNE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "OT CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NJ",
            "license": "46TR00297400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.