Active NPIIndividual provider

Justin T Mctish, OTD, OTR/L, CAPS

Occupational Therapist in Avenel, New Jersey

NPI Number1407425382
Practice location
1050 US Highway 1, Avenel, NJ 07001-1548
Fax
732-564-9032
Last updated
November 11, 2021

Justin Thomas Mctish is an Occupational Therapist based in Avenel, NJ. Justin Thomas Mctish practices in Avenel, NJ and has the professional credentials of OTD, OTR/L, CAPS. The NPI Number for Justin Thomas Mctish is 1407425382 and holds a License No. 46TR0097550 (NJ). The current practice location address for Justin Thomas Mctish is 1050 US Highway 1, Avenel, NJ 07001-1548 and can be reached out via phone at 732-504-3649 and via fax at 732-564-9032.

Provider Profile Details

NPI Number
1407425382
Provider Name
Justin Thomas Mctish
Credential
OTD, OTR/L, CAPS
Provider Entity Type
Individual
Gender
Male
Address
1050 US Highway 1, Avenel, NJ 07001-1548
Phone Number
732-504-3649
Fax Number
732-564-9032
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
June 23, 2021
Last Update Date
November 11, 2021
Certification Date
November 11, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1050 US Highway 1
Avenel, NJ 07001-1548
City
Avenel
Zip
07001-1548
Phone Number
732-504-3649
Fax Number
732-564-9032
Avenel, NJ 07001Get directions →

Provider Business Mailing Address Details

Address
1050 US Highway 1
Avenel, NJ 07001-1548
City
Avenel
State
NJ
Zip
07001-1548
Phone Number
732-283-2663
Fax Number
732-283-2661

License Information

License Number
46TR0097550
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 Justin T Mctish, OTD, OTR/L, CAPS?

The NPI number of Justin T Mctish, OTD, OTR/L, CAPS is 1407425382. It was assigned on June 23, 2021 and is currently active in the NPPES registry.

What is the specialty of Justin T Mctish, OTD, OTR/L, CAPS?

Justin T Mctish, OTD, OTR/L, CAPS is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR0097550.

Where does Justin T Mctish, OTD, OTR/L, CAPS practice?

The practice location is 1050 US Highway 1, Avenel, NJ 07001-1548. The office can be reached at 732-504-3649 (phone) or 732-564-9032 (fax).

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 1407425382 directly on the NPPES registry website.

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