Individual provider Active NPI

Oluwatosin Olutayo Emmanuel, OTR/L

  • Occupational Therapist
  • Ridgefield Park, NJ
National Provider Identifier
1922422575
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
018160 Issued in NY
Practice address
109 Park St Apt 1
Ridgefield Park, NJ 07660-1716
Phone
(929) 503-1495
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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 018160 NY Primary

Addresses

Primary practice location

109 Park St Apt 1
Ridgefield Park, NJ 07660-1716

Mailing address

109 Park St Apt 1
Ridgefield Park, NJ 07660-1716
Phone (929) 503-1495

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140604001535 NY Practitioner - Occupational Therapist in Private Practice 3971727371 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018160NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson in Home Physical Therapy and Occupational Therapy PLLC CurrentSince Sep 16, 2025 Accepting new patients
Hudson in Home Physical Therapy PLLC CurrentSince Sep 16, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1922422575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PARK ST APT 1",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601716",
            "telephone_number": "929-503-1495",
            "fax_number": "877-407-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PARK ST APT 1",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601716",
            "telephone_number": "929-503-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMANUEL",
        "first_name": "OLUWATOSIN",
        "middle_name": "OLUTAYO",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.