Individual provider Active NPI

Vanessa Truxal, OTR/L

  • Pediatric Occupational Therapist
  • Oakhurst, NJ
National Provider Identifier
1992051528
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
015385 Issued in NY
Practice address
2005 Route 35 Ste 21
Oakhurst, NJ 07755-2763
Phone
(732) 663-9030
Fax
(732) 508-9317
NPI assigned
Aug 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 015385 NY Primary

Addresses

Primary practice location

2005 Route 35 Ste 21
Oakhurst, NJ 07755-2763

Mailing address

84 Borden St
Shrewsbury, NJ 07702-4425
Phone (585) 749-3783

Other practice location 1

400 E 34th St Rm Rk510
New York, NY 10016-4901
Phone (212) 263-6013

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730001214 NJ Practitioner - Occupational Therapist in Private Practice 9436574084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Physical Therapy CenterGroup PAC ID 8820168123, 117 clinicians

Practice addresses (Care Compare)

2005 Route 35
Suite 21
Oakhurst, NJ 07755-2763
Phone (732) 240-9296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015385NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physical Therapy Center CurrentSince Jul 17, 2020 Accepting new patients
Atlantic Physical Therapy Center Pediatrics CurrentSince Jul 17, 2020 Accepting new patients
Seashore Pediatric Therapy Center PC Past Accepting new patients

Locations

1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800

2005 State Route 35
Ste 21
Oakhurst, NJ 07755
Phone (732) 240-9296

1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 722-8787

Organizations & group practices 3

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1992051528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 BORDEN ST",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024425",
            "telephone_number": "585-749-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 ROUTE 35 STE 21",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552763",
            "telephone_number": "732-663-9030",
            "fax_number": "732-508-9317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 34th St Rm Rk510",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100164901",
            "country_code": "US",
            "telephone_number": "212-263-6013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUXAL",
        "first_name": "VANESSA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "015385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.