Mario Sanchez, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09110100 Issued in NJ

Practice address

12 Vermeer Dr Apt 6
South Amboy, NJ 08879-2347

Phone

(201) 870-8477

NPI assigned

Jun 11, 2015

Last updated

Jun 11, 2015By the provider in NPPES

Sex

Male

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

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1992186217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 VERMEER DR APT 6",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088792347",
            "telephone_number": "201-870-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 VERMEER DR APT 6",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088792347",
            "telephone_number": "201-870-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "MARIO",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09110100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rosa-Romano, RN
• Brian Steve Ruiz, LCSW
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• Stacie Ann Sabatino, LCADC, LAC, CCS
• Sage Path Counseling Center, LLC
• Danielle Santora, LSW
• Sayreville Board of Education
• Brian Schafranick, RN
• Concetta Schilt, LCADC
• Tracy Ann Schirm, RN

• Occupational Therapy Assistant in South Amboy, NJ
• Providers in South Amboy, 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 Jun 11, 2015; 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.