Individual provider Active NPI

Gabrielle Patrizio, OTR

  • Occupational Therapist
  • Manalapan, NJ
National Provider Identifier
1992389340
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00972900 Issued in NJ
Practice address
63 Demarest Drive
Manalapan, NJ 07726
Phone
(908) 642-8220
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00972900 NJ Primary

Addresses

Primary practice location

63 Demarest Drive
Manalapan, NJ 07726

Mailing address

63 Demarest Drive
Manalapan, NJ 07726
Phone (908) 642-8220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210806000181 NJ Practitioner - Occupational Therapist in Private Practice 3971907320 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monmouth Pain and Rehabilitation PCGroup PAC ID 1557460714, 4 clinicians

Practice addresses (Care Compare)

1985 Hwy 34 S
Unit 6a
Wall, NJ 07719-1000
Phone (732) 345-1377

3100 Route 138
Suite 3
Wall Township, NJ 07719-9021

3100 RT
138 BLDG 3
Wall, NJ 07719-9021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00972900NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monmouth Pain and Rehabiliation PC CurrentSince Sep 19, 2022 Accepting new patients
Fox Rehabilitation Services Inc Occupational Therapist CurrentSince Aug 1, 2021 Accepting new patients
Monmouth Pain and Rehabilitation PC CurrentSince Sep 19, 2022 Accepting new patients
Seacoast Spine & Sports Medicine LLC CurrentSince Oct 12, 2021 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

40 Corbett Way
Eatontown, NJ 07724
Phone (732) 955-0655

747 Lacey Rd
Forked River, NJ 08731

20 Thoreau Dr
Freehold, NJ 07728
Phone (732) 303-1425

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

2700 Bridge Ave
Ste 1
Point Pleasant Boro, NJ 08742
Phone (732) 475-7690

174 Patterson Ave
Shrewsbury, NJ 07702
Phone (732) 842-7614

3100 State Route 138
Ste 3
Wall Township, NJ 07719
Phone (732) 280-9500

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1992389340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 DEMAREST DRIVE",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "07726",
            "telephone_number": "908-642-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 DEMAREST DRIVE",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "07726",
            "telephone_number": "908-642-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRIZIO",
        "first_name": "GABRIELLE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00972900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.