Gwen A Pra, MHA, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

46TR00068400 Issued in NJ

Practice address

620 Route 23
Pompton Plains, NJ 07444-1468

Phone

(973) 588-4486

NPI assigned

Apr 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Gwen A Kaulfers-Pra Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1952807141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CHUCKANUTT DR",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074363728",
            "telephone_number": "201-519-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ROUTE 23",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441468",
            "telephone_number": "973-588-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRA",
        "first_name": "GWEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MHA, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00068400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWEN",
            "last_name": "KAULFERS-PRA",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Pompton Plains Pathologists P a
• Ernest John Pomroy III, MSPT
• Susan Marie Popolo Becker, NURSE PRACTITIONER
• Adrienne Margaret Popovich, LCSW, MSW
• Steven Darren Potter, M.D.
• Pro Vision Physical Therapy
• Procare Medical Transportation Corp
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Promenade Eye Care, P.a.

• Pediatric Occupational Therapist in Pompton Plains, NJ
• Providers in Pompton Plains, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.