Individual provider Active NPI

Dawn Marie Maratta-Kielb, OTR

  • Pediatric Occupational Therapist
  • Red Bank, NJ
National Provider Identifier
1992947360
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR00152800 Issued in NJ
Practice address
130 Maple Ave Ste 3F
Red Bank, NJ 07701-1729
Phone
(732) 481-2020
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 46TR00152800 NJ Primary

Addresses

Primary practice location

130 Maple Ave Ste 3F
Red Bank, NJ 07701-1729

Mailing address

26 Queens Dr E
Little Silver, NJ 07739-1629
Phone (201) 401-8027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46TR00152800NJMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Zone Multi-Specialty CurrentSince Jul 23, 2023 Accepting new patients

Locations

130 Maple Ave
Ste 3F
Red Bank, NJ 07701
Phone (732) 481-2020

Organizations & group practices 1

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1992947360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 QUEENS DR E",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391629",
            "telephone_number": "201-401-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAPLE AVE STE 3F",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011729",
            "telephone_number": "732-481-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARATTA-KIELB",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00152800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.