Active NPI
Lady Jessenia Fromm, OT
- Gerontology Occupational Therapist
- New Providence, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 46TR01045500
- Practice address
- 535 Mountain Ave
New Providence, NJ 07974-2002 - Phone
- (908) 587-8413
- NPI assigned
- Mar 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 46TR01045500 | NJ | |
| Gerontology Occupational Therapist | 225XG0600X | 46TR01045500 | NJ | Primary |
Addresses
Primary practice location
535 Mountain Ave
New Providence, NJ 07974-2002
Mailing address
114 Livingston Ave Apt 2
New Providence, NJ 07974-2255
Phone (908) 587-8413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
691 Bloomfield Ave
Montclair, NJ 07042-2238
Phone (973) 893-5082
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01045500 | NJ | MD | Gerontology Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Occupational & Physical Therapy, PLLC | Gerontology | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Current | Accepting new patients | |
| Healthpro Heritage Rehab & Fitness, LLC | Current | Accepting new patients | |
| Professional Occupational & Physical Therapy, PLLC | Current | Accepting new patients | |
| Healthpro Heritage Rehab & Fitness, LLC | Current | Accepting new patients |
Locations
1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424
691 Bloomfield Ave
Montclair, NJ 07042
Phone (973) 893-5082
21 Headquarters Plz
Lowr
Morristown, NJ 07960
Phone (973) 947-8876
535 Mountain Ave
New Providence, NJ 07974
Phone (908) 312-5315
39 E Front St
Red Bank, NJ 07701
Phone (732) 978-1500
524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591
576 Broadhollow Rd
Melville, NY 11747
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 and National Provider Directory roles.
-
- Occupational Therapist
- Sicklerville, NJ
- NPI 1215487772
-
- Physical Therapist
- Saddle River, NJ
- NPI 1689022295
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
-
- Occupational Therapist
- Whitestone, NY
- NPI 1487104261
Gerontology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1912656489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 LIVINGSTON AVE APT 2",
"city": "NEW PROVIDENCE",
"state": "NJ",
"postal_code": "079742255",
"telephone_number": "908-587-8413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 MOUNTAIN AVE",
"city": "NEW PROVIDENCE",
"state": "NJ",
"postal_code": "079742002",
"telephone_number": "908-587-8413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROMM",
"first_name": "LADY",
"middle_name": "JESSENIA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-22",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "NJ",
"license": "46TR01045500",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "NJ",
"license": "46TR01045500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Providence, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.