Kelly Myerson, OTR
Occupational Therapist in Pequannock, New Jersey
1215886171- Practice location
- 109 Greenwood Ave, Pequannock, NJ 07440-1319
- Phone
- 973-519-4642
- Fax
- —
- Last updated
- January 24, 2026
Kelly Myerson is an Occupational Therapist based in Pequannock, NJ. Kelly Myerson practices in Pequannock, NJ and has the professional credentials of OTR. The NPI Number for Kelly Myerson is 1215886171 and holds a License No. 46TR00195100 (NJ). The current practice location address for Kelly Myerson is 109 Greenwood Ave, Pequannock, NJ 07440-1319 and can be reached out via phone at 973-519-4642.
Provider Profile Details
- NPI Number
- 1215886171
- Provider Name
- Kelly Myerson
- Credential
- OTR
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 109 Greenwood Ave, Pequannock, NJ 07440-1319
- Phone Number
- 973-519-4642
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 24, 2026
- Last Update Date
- January 24, 2026
- Certification Date
- January 23, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 109 Greenwood Ave
Pequannock, NJ 07440-1319 - City
- Pequannock
- State
- New Jersey
- Zip
- 07440-1319
- Phone Number
- 973-519-4642
Provider Business Mailing Address Details
- Address
- 109 Greenwood Ave
Pequannock, NJ 07440-1319 - City
- Pequannock
- State
- NJ
- Zip
- 07440-1319
- Phone Number
- 973-519-4642
License Information
- License Number
- 46TR00195100
- License State
- NJ
- Taxonomy
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Kelly Myerson, OTR?
The NPI number of Kelly Myerson, OTR is 1215886171. It was assigned on January 24, 2026 and is currently active in the NPPES registry.
What is the specialty of Kelly Myerson, OTR?
Kelly Myerson, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00195100.
Where does Kelly Myerson, OTR practice?
The practice location is 109 Greenwood Ave, Pequannock, NJ 07440-1319. The office can be reached at 973-519-4642 (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 1215886171 directly on the NPPES registry website.