Active NPIIndividual provider

Mrs. Diane Vitillo, OTR/L

Occupational Therapist, Gerontology in Kendall Park, New Jersey

NPI Number1639496045
Practice location
9 Talcott CT, Kendall Park, NJ 08824-7013
Fax
—
Last updated
June 7, 2010

Diane Vitillo is an Occupational Therapist, Gerontology based in Kendall Park, NJ. Diane Vitillo practices in Kendall Park, NJ and has the professional credentials of OTR/L. The NPI Number for Diane Vitillo is 1639496045 and holds a License No. 46TR00508800 (NJ). The current practice location address for Diane Vitillo is 9 Talcott CT, Kendall Park, NJ 08824-7013 and can be reached out via phone at 732-960-1655.

Provider Profile Details

NPI Number
1639496045
Provider Name
Diane Vitillo
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
9 Talcott CT, Kendall Park, NJ 08824-7013
Phone Number
732-960-1655
Primary Taxonomy
Occupational Therapist, Gerontology · 225XG0600X
Sole Proprietor
No
Provider Enumeration Date
April 24, 2010
Last Update Date
June 7, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Talcott CT
Kendall Park, NJ 08824-7013
Zip
08824-7013
Phone Number
732-960-1655
Kendall Park, NJ 08824Get directions →

Provider Business Mailing Address Details

Address
9 Talcott CT
Kendall Park, NJ 08824-7013
City
Kendall Park
State
NJ
Zip
08824-7013
Phone Number
732-960-1655

License Information

License Number (1)
46TR00508800
License State (1)
NJ
Taxonomy (1)
Occupational Therapist, Gerontology · 225XG0600X · Primary
License Number (2)
46TR00508800
License State (2)
NJ
Taxonomy (2)
Occupational Therapist · 225X00000X

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 Mrs. Diane Vitillo, OTR/L?

The NPI number of Mrs. Diane Vitillo, OTR/L is 1639496045. It was assigned on April 24, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Diane Vitillo, OTR/L?

Mrs. Diane Vitillo, OTR/L is registered under the primary taxonomy Occupational Therapist, Gerontology (code 225XG0600X), licensed in NJ under license number 46TR00508800.

Where does Mrs. Diane Vitillo, OTR/L practice?

The practice location is 9 Talcott CT, Kendall Park, NJ 08824-7013. The office can be reached at 732-960-1655 (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 1639496045 directly on the NPPES registry website.

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