Miranda Hanson
Individual provider Active NPI Occupational Therapist · Brielle, NJ
NPI 1932913563 · NPPES record last updated Feb 4, 2025
Key facts
- NPI
- 1932913563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 46TR01219100 (NJ)
- Practice address
- 629 Higgins Ave
Brielle, NJ 08730-1480 - Phone
- (732) 292-9900
- NPI assigned
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Therafit Enterprises of New Jersey Incorporated
Practice addresses (Care Compare)
1215 Hwy 35
Middletown, NJ 07748-2011
Phone (732) 639-0068
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251009001420 | NJ | Practitioner - Occupational Therapist in Private Practice | 7315444932 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therafit Enterprises of New Jersey Incorporated | Occupational Therapist | Current |
Accepting new patients |
| Therafit Enterprises of New Jersey Incorporated | Occupational Therapist | Current | Accepting new patients |
Locations
443 Highway 34
Ste J
Matawan, NJ 07747
Phone (732) 639-0068
1215 Highway 35
Middletown, NJ 07748
Phone (732) 639-0068
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR01219100 | NJ | Yes |
Addresses
Primary practice location
629 Higgins Ave
Brielle, NJ 08730-1480
Mailing address
739 Tunney Point Dr
Toms River, NJ 08753-4763
Other providers in Brielle, NJ
- DRS Tumas PC
- Nicolette Evans
- Ilan Gamburg
- Meghan Gilly
- Colleen Mary Gunteski
- Deirdre Herman
- Judith Hilla
- Kurt D Hostnik
- Guy J Iacono
- Integrated Health and Wellness Center LLC
All providers in Brielle, NJ · Occupational Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.