NPIMap

Organization Active NPI

OT Vision Rehab LLC

  • Occupational Therapist
  • Berlin, NJ
National Provider Identifier
1992818579
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00234900 Issued in NJ
Legal business name
OT VISION REHAB LLC
Practice address
339 North Route 73 South
Suite 4 Winslow Professional BLDG
Berlin, NJ 08009
Phone
(856) 404-2207
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Ms. Beth H Goldenberg, OTR LNPI 1184737769
Title
President
Phone
(856) 404-2207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 46TR00234900 NJ Primary

Addresses

Primary practice location

339 North Route 73 South
Suite 4 Winslow Professional BLDG
Berlin, NJ 08009

Mailing address

339 North Route 73 South
Suite 4 Winslow Professional BLDG
Berlin, NJ 08009
Phone (856) 404-2207

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1992818579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 NORTH ROUTE 73 SOUTH",
            "address_2": "SUITE 4 WINSLOW PROFESSIONAL BLDG",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "08009",
            "telephone_number": "856-404-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 NORTH ROUTE 73 SOUTH",
            "address_2": "SUITE 4 WINSLOW PROFESSIONAL BLDG",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "08009",
            "telephone_number": "856-404-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT VISION REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDENBERG",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-404-2207",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00234900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.