Active NPIIndividual providerSole proprietor

Colleen A Deritis, MA, OTR/L, ACE CPT

Occupational Therapist in Point Pleasant Boro, New Jersey

NPI Number1578761086
Practice location
159 Smith Cir, Point Pleasant Boro, NJ 08742-5414
Fax
—
Last updated
May 13, 2014

Colleen Ann Deritis is an Occupational Therapist based in Point Pleasant Boro, NJ. Colleen Ann Deritis practices in Point Pleasant Boro, NJ and has the professional credentials of MA, OTR/L, ACE CPT. The NPI Number for Colleen Ann Deritis is 1578761086 and holds a License No. 005686 (NY). The current practice location address for Colleen Ann Deritis is 159 Smith Cir, Point Pleasant Boro, NJ 08742-5414 and can be reached out via phone at 732-206-8189.

Provider Profile Details

NPI Number
1578761086
Provider Name
Colleen Ann Deritis
Credential
MA, OTR/L, ACE CPT
Provider Entity Type
Individual
Gender
Female
Address
159 Smith Cir, Point Pleasant Boro, NJ 08742-5414
Phone Number
732-206-8189
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 5, 2007
Last Update Date
May 13, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
159 Smith Cir
Point Pleasant Boro, NJ 08742-5414
Zip
08742-5414
Phone Number
732-206-8189
Point Pleasant Boro, NJ 08742Get directions →

Provider Business Mailing Address Details

Address
159 Smith Cir
Point Pleasant, NJ 08742-5856
City
Point Pleasant
State
NJ
Zip
08742-5856

License Information

License Number (1)
005686
License State (1)
NY
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
46tr00485500
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 Colleen A Deritis, MA, OTR/L, ACE CPT?

The NPI number of Colleen A Deritis, MA, OTR/L, ACE CPT is 1578761086. It was assigned on July 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Colleen A Deritis, MA, OTR/L, ACE CPT?

Colleen A Deritis, MA, OTR/L, ACE CPT is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NY under license number 005686.

Where does Colleen A Deritis, MA, OTR/L, ACE CPT practice?

The practice location is 159 Smith Cir, Point Pleasant Boro, NJ 08742-5414. The office can be reached at 732-206-8189 (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 1578761086 directly on the NPPES registry website.

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