Jessica Lynn Lukaszek, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01009400 Issued in NJ

Practice address

6 Rainbow Dr
Millington, NJ 07946-1236

Phone

(732) 547-7136

NPI assigned

Aug 30, 2021

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  Medicare reassignment NPD

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1962170670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RAINBOW DR",
            "city": "MILLINGTON",
            "state": "NJ",
            "postal_code": "079461236",
            "telephone_number": "732-547-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 RAINBOW DR",
            "city": "MILLINGTON",
            "state": "NJ",
            "postal_code": "079461236",
            "telephone_number": "732-547-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKASZEK",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01009400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Dos Santos, OTR
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• Home Roots Safety Solutions
• Paul Mitchell Kelleher, D.O.
• Dana Angela Loria
• Our House, Inc.
• Paul Mitchell Kelleher DO LLC
• Yardena Raban, HEALTH COACH
• Thomasine M. Rosenthal, LCSW
• Jennifer A Scalera

• Occupational Therapist in Millington, NJ
• Providers in Millington, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.