Martha Vanessa Jackman-Bivas, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00291700 Issued in NJ

Practice address

111-115 Gates Ave
Montclair, NJ 07042-2500

Phone

(973) 746-4616

NPI assigned

Aug 5, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Life Physical TherapyGroup PAC ID 4880014893, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Active Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Clifton, NJ
  • NPI 1689289324
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1992996995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CHARLES ST",
            "address_2": "1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422406",
            "telephone_number": "800-530-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111-115 GATES AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422500",
            "telephone_number": "973-746-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKMAN-BIVAS",
        "first_name": "MARTHA",
        "middle_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00291700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Spine & Orthopedic Rehabilitation
• Nanci Jean Iovino
• Israel Martinez, LCSW LLC
• Joseph Robert Ivan, M.D.
• Sasha G. Izen, PH.D.
• Anna Marie Jackson, LPC
• Jacqueline a Rondeau PSYD
• Jacqueline a. Rondeau Psy.D. Clinical Psychological &Neuropsychologist
• Jaffar M Jafri, MD
• Martha Jaikissoon

• Occupational Therapist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.