Active NPIIndividual providerSole proprietor

Michelle Blumenfrucht, OTR

Occupational Therapist in West New York, New Jersey

NPI Number1356815005
Practice location
6612 Bergenline Ave, West New York, NJ 07093-1719
Fax
—
Last updated
January 16, 2019

Michelle Blumenfrucht is an Occupational Therapist based in West New York, NJ. Michelle Blumenfrucht practices in West New York, NJ and has the professional credentials of OTR. The NPI Number for Michelle Blumenfrucht is 1356815005 and holds a License No. 46TR00859900 (NJ). The current practice location address for Michelle Blumenfrucht is 6612 Bergenline Ave, West New York, NJ 07093-1719 and can be reached out via phone at 201-854-5511.

Provider Profile Details

NPI Number
1356815005
Provider Name
Michelle Blumenfrucht
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
6612 Bergenline Ave, West New York, NJ 07093-1719
Phone Number
201-854-5511
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 16, 2019
Last Update Date
January 16, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
6612 Bergenline Ave
West New York, NJ 07093-1719
Zip
07093-1719
Phone Number
201-854-5511
West New York, NJ 07093Get directions →

Provider Business Mailing Address Details

Address
411 Ogden Ave
Teaneck, NJ 07666-2819
City
Teaneck
State
NJ
Zip
07666-2819
Phone Number
201-833-1968

License Information

License Number
46TR00859900
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 Michelle Blumenfrucht, OTR?

The NPI number of Michelle Blumenfrucht, OTR is 1356815005. It was assigned on January 16, 2019 and is currently active in the NPPES registry.

What is the specialty of Michelle Blumenfrucht, OTR?

Michelle Blumenfrucht, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00859900.

Where does Michelle Blumenfrucht, OTR practice?

The practice location is 6612 Bergenline Ave, West New York, NJ 07093-1719. The office can be reached at 201-854-5511 (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 1356815005 directly on the NPPES registry website.

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