Active NPIIndividual providerSole proprietor

Kelly Ryan-Gazdus, OTR

Occupational Therapist in Rumson, New Jersey

NPI Number1518414762
Practice location
41 Lafayette St, Rumson, NJ 07760-1330
Fax
—
Last updated
September 6, 2016

Kelly Ryan-Gazdus is an Occupational Therapist based in Rumson, NJ. Kelly Ryan-Gazdus practices in Rumson, NJ and has the professional credentials of OTR. The NPI Number for Kelly Ryan-Gazdus is 1518414762 and holds a License No. 46TR00152300 (NJ). The current practice location address for Kelly Ryan-Gazdus is 41 Lafayette St, Rumson, NJ 07760-1330 and can be reached out via phone at 973-809-4997.

Provider Profile Details

NPI Number
1518414762
Provider Name
Kelly Ryan-Gazdus
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
41 Lafayette St, Rumson, NJ 07760-1330
Phone Number
973-809-4997
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 6, 2016
Last Update Date
September 6, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Lafayette St
Rumson, NJ 07760-1330
City
Rumson
Zip
07760-1330
Phone Number
973-809-4997
Rumson, NJ 07760Get directions →

Provider Business Mailing Address Details

Address
41 Lafayette St
Rumson, NJ 07760-1330
City
Rumson
State
NJ
Zip
07760-1330
Phone Number
973-809-4997

License Information

License Number
46TR00152300
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 Kelly Ryan-Gazdus, OTR?

The NPI number of Kelly Ryan-Gazdus, OTR is 1518414762. It was assigned on September 6, 2016 and is currently active in the NPPES registry.

What is the specialty of Kelly Ryan-Gazdus, OTR?

Kelly Ryan-Gazdus, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00152300.

Where does Kelly Ryan-Gazdus, OTR practice?

The practice location is 41 Lafayette St, Rumson, NJ 07760-1330. The office can be reached at 973-809-4997 (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 1518414762 directly on the NPPES registry website.

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