Organization Active NPI

Empowered Learning Center of Monmouth

  • Occupational Therapist
  • Eatontown, NJ
National Provider Identifier
1902063993
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00469400 Issued in NJ
Legal business name
EMPOWERED LEARNING CENTER OF MONMOUTH
Practice address
615 Hope Rd
BLDG. 5B 1St Floor
Eatontown, NJ 07724-1277
Phone
(732) 380-7287
Fax
(732) 389-7289
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Ms. Jessica F Coughlin, MS, OTR/L
Title
Occupational Therapist
Phone
(732) 380-7287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 46TR00469400 NJ Primary

Addresses

Primary practice location

615 Hope Rd
BLDG. 5B 1St Floor
Eatontown, NJ 07724-1277

Mailing address

615 Hope Rd
BLDG. 5B 1St Floor
Eatontown, NJ 07724-1277
Phone (732) 380-7287

National Provider Directory

National Provider Directory
Tax ID family
Empowered Learning Center of Monmouth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1902063993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 HOPE RD",
            "address_2": "BLDG. 5B 1ST FLOOR",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241277",
            "telephone_number": "732-380-7287",
            "fax_number": "732-389-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HOPE RD",
            "address_2": "BLDG. 5B 1ST FLOOR",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241277",
            "telephone_number": "732-380-7287",
            "fax_number": "732-389-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED LEARNING CENTER OF MONMOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "COUGHLIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "732-380-7287",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00469400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.