Active NPIIndividual providerSole proprietor

Grace A Petinakis, MS, OTR/L

Occupational Therapist in Springfield, New Jersey

NPI Number1003577016
Practice location
899 Mountain Ave Ste 1A, Springfield, NJ 07081-3403
Fax
—
Last updated
January 3, 2022

Grace Annmarie Petinakis is an Occupational Therapist based in Springfield, NJ. Grace Annmarie Petinakis practices in Springfield, NJ and has the professional credentials of MS, OTR/L. The NPI Number for Grace Annmarie Petinakis is 1003577016 and holds a License No. 46TR01018700 (NJ). The current practice location address for Grace Annmarie Petinakis is 899 Mountain Ave Ste 1A, Springfield, NJ 07081-3403 and can be reached out via phone at 973-218-6394.

Provider Profile Details

NPI Number
1003577016
Provider Name
Grace Annmarie Petinakis
Credential
MS, OTR/L
Provider Entity Type
Individual
Gender
Female
Address
899 Mountain Ave Ste 1A, Springfield, NJ 07081-3403
Phone Number
973-218-6394
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 3, 2022
Last Update Date
January 3, 2022
Certification Date
December 31, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
899 Mountain Ave Ste 1A
Springfield, NJ 07081-3403
Zip
07081-3403
Phone Number
973-218-6394
Springfield, NJ 07081Get directions →

Provider Business Mailing Address Details

Address
9 Louis St
East Hanover, NJ 07936-1315
City
East Hanover
State
NJ
Zip
07936-1315

License Information

License Number
46TR01018700
License State
NJ
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Grace A Petinakis, MS, OTR/L?

The NPI number of Grace A Petinakis, MS, OTR/L is 1003577016. It was assigned on January 3, 2022 and is currently active in the NPPES registry.

What is the specialty of Grace A Petinakis, MS, OTR/L?

Grace A Petinakis, MS, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR01018700.

Where does Grace A Petinakis, MS, OTR/L practice?

The practice location is 899 Mountain Ave Ste 1A, Springfield, NJ 07081-3403. The office can be reached at 973-218-6394 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003577016 directly on the NPPES registry website.

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