Individual provider Active NPI

Jessica Tarantino, OT

  • Occupational Therapist
  • Toms River, NJ
National Provider Identifier
1952197550
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01237100 Issued in NJ
Practice address
104 Route 37 E
Toms River, NJ 08753-6729
Phone
(732) 908-2610
Fax
(732) 908-2612
NPI assigned
Apr 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 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 46TR01237100 NJ Primary

Addresses

Primary practice location

104 Route 37 E
Toms River, NJ 08753-6729

Mailing address

104 Route 37 E
Toms River, NJ 08753-6729
Phone (732) 908-2610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250519000472 NJ Practitioner - Occupational Therapist in Private Practice 6204354830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Activate Physical Therapy LLCGroup PAC ID 7315319001, 6 clinicians

Practice addresses (Care Compare)

104 Route 37 E
Toms River, NJ 08753-6729
Phone (732) 908-2610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01237100NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Activate Physical Therapy LLC CurrentSince Apr 25, 2025 Accepting new patients

Locations

305 Route 9
Bayville, NJ 08721
Phone (732) 908-2610

700 Campus Dr
Ste B
Morganville, NJ 07751
Phone (732) 581-5389

104 Route 37 E
Toms River, NJ 08753
Phone (732) 908-2610

Organizations & group practices 1

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": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1952197550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ROUTE 37 E",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536729",
            "telephone_number": "732-908-2610",
            "fax_number": "732-908-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ROUTE 37 E",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536729",
            "telephone_number": "732-908-2610",
            "fax_number": "732-908-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANTINO",
        "first_name": "JESSICA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01237100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.