Angela Deklerk, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01028600 Issued in NJ

Practice address

49 Stratford Rd
Southampton, NJ 08088-1035

Phone

(609) 923-4372

NPI assigned

Dec 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Link Home Services of NJ LLC

  • Physical Therapy Clinic/Center
  • Englewood Cliffs, NJ
  • NPI 1972072585
  Medicare reassignment NPD
• Esd PT OT & SLP PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1003383308

  NJ, Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1891456950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 STRATFORD RD",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080881035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 STRATFORD RD",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080881035",
            "telephone_number": "609-923-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKLERK",
        "first_name": "ANGELA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01028600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adeklerk26@comcast.net",
            "affiliation": "N",
            "address_1": "49 Stratford Rd",
            "city": "Southampton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080881035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine A Crank, LSW
• Jennifer Cupoli
• Ashlee Davidson
• Kelly Hayes Davis, RN
• Jenea Dawkins
• Peter Destefano, THERAPIST
• Nelly Dixon, ED.D., BCBA
• Catherine A Ensana, M.A.
• Maria Eleni Evgeniadis, OTR/L
• Fayez Mikhail, LLC

• Occupational Therapist in Southampton, NJ
• Providers in Southampton, 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 Dec 31, 2021; 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.