Kelly S Scrivanich, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09193700 Issued in NJ

Practice address

1275 Westfield Ave
Rahway, NJ 07065-1900

Phone

(848) 235-5603

NPI assigned

Apr 22, 2020

Sex

Female

Sole proprietor

No

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

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1982224697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CEDAR DR",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623201",
            "telephone_number": "201-344-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 WESTFIELD AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070651900",
            "telephone_number": "848-235-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIVANICH",
        "first_name": "KELLY",
        "middle_name": "S",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09193700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector J. Sanchez, MD
• Arthur Francis Santiago, M.D.
• Josephine Sari
• Gregg Scott Schneider, DDS
• Caitlin Scott, LPC
• Kimberly Jane Secor, M.S., CCC-SLP
• Secure Transportation, Inc.
• Shamay Selim
• Melissa Servedio, LPC
• Chirag D Shah, PT

• Occupational Therapy Assistant in Rahway, NJ
• Providers in Rahway, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.