Individual provider Active NPI

Ashley List Fitzgerald, OTR/L

  • Occupational Therapist
  • Rockaway, NJ
National Provider Identifier
1922634872
Registry record updated Mar 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00737400 Issued in NJ
Practice address
333 Mount Hope Ave Ste 310
Rockaway, NJ 07866-1657
Phone
(973) 727-8998
NPI assigned
Mar 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 46TR00737400 NJ
Occupational Therapist 225X00000X 46TR00737400 NJ Primary

Addresses

Primary practice location

333 Mount Hope Ave Ste 310
Rockaway, NJ 07866-1657

Mailing address

527 Dell Rd
Landing, NJ 07850-1734
Phone (973) 727-8998

Other practice location 1

111 Madison Ave Ste 110
Morristown, NJ 07960-6083
Phone (973) 683-2360

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46TR00737400NJMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584835200000",
    "number": "1922634872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 DELL RD",
            "city": "LANDING",
            "state": "NJ",
            "postal_code": "078501734",
            "telephone_number": "973-727-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MOUNT HOPE AVE STE 310",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661657",
            "telephone_number": "973-727-8998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Madison Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606083",
            "country_code": "US",
            "telephone_number": "973-683-2360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "ASHLEY",
        "middle_name": "LIST",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-22",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NJ",
            "license": "46TR00737400",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00737400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2020; 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.