Active NPIIndividual providerSole proprietor

Jill Gordley

Occupational Therapist in Fair Lawn, New Jersey

NPI Number1417564071
Practice location
18-01 Pollitt Dr, Fair Lawn, NJ 07410-2813
Fax
—
Last updated
September 28, 2020

Jill Gordley is an Occupational Therapist based in Fair Lawn, NJ. Jill Gordley practices in Fair Lawn, NJ. The NPI Number for Jill Gordley is 1417564071 and holds a License No. OC017219 (PA). The current practice location address for Jill Gordley is 18-01 Pollitt Dr, Fair Lawn, NJ 07410-2813 and can be reached out via phone at 908-500-0722.

Provider Profile Details

NPI Number
1417564071
Provider Name
Jill Gordley
Provider Entity Type
Individual
Gender
Female
Address
18-01 Pollitt Dr, Fair Lawn, NJ 07410-2813
Phone Number
908-500-0722
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 28, 2020
Last Update Date
September 28, 2020
Certification Date
September 28, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
18-01 Pollitt Dr
Fair Lawn, NJ 07410-2813
Zip
07410-2813
Phone Number
908-500-0722
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
655 S Willow St Ste 128
Manchester, NH 03103-5723
City
Manchester
State
NH
Zip
03103-5723

License Information

License Number (1)
OC017219
License State (1)
PA
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
46tr0089700
License State (2)
NJ
Taxonomy (2)
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 Jill Gordley?

The NPI number of Jill Gordley is 1417564071. It was assigned on September 28, 2020 and is currently active in the NPPES registry.

What is the specialty of Jill Gordley?

Jill Gordley is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in PA under license number OC017219.

Where does Jill Gordley practice?

The practice location is 18-01 Pollitt Dr, Fair Lawn, NJ 07410-2813. The office can be reached at 908-500-0722 (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 1417564071 directly on the NPPES registry website.

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