Active NPIIndividual providerSole proprietor

Ms. Mary R Rasor, COTA/L

Occupational Therapy Assistant in Midland Park, New Jersey

NPI Number1992402010
Practice location
33 Central Ave, Midland Park, NJ 07432-1401
Fax
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Last updated
June 22, 2023

Mary Rebecca Fairbanks Rasor is an Occupational Therapy Assistant based in Midland Park, NJ. Mary Rebecca Fairbanks Rasor practices in Midland Park, NJ and has the professional credentials of COTA/L. The NPI Number for Mary Rebecca Fairbanks Rasor is 1992402010 and holds a License No. 46TA09231000 (NJ). The current practice location address for Mary Rebecca Fairbanks Rasor is 33 Central Ave, Midland Park, NJ 07432-1401 and can be reached out via phone at 201-632-1900.

Provider Profile Details

NPI Number
1992402010
Provider Name
Mary Rebecca Fairbanks Rasor
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
33 Central Ave, Midland Park, NJ 07432-1401
Phone Number
201-632-1900
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Other Names
Ms. Mary Rebecca Fairbanks Rasor, COTA/L (Other Name)
Provider Enumeration Date
February 9, 2023
Last Update Date
June 22, 2023
Certification Date
June 22, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Central Ave
Midland Park, NJ 07432-1401
Zip
07432-1401
Phone Number
201-632-1900
Midland Park, NJ 07432Get directions →

Provider Business Mailing Address Details

Address
150 Pinewood Pl
Teaneck, NJ 07666-4921
City
Teaneck
State
NJ
Zip
07666-4921
Phone Number
201-681-8233

License Information

License Number
46TA09231000
License State
NJ
Taxonomy
Occupational Therapy Assistant · 224Z00000X · 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 Ms. Mary R Rasor, COTA/L?

The NPI number of Ms. Mary R Rasor, COTA/L is 1992402010. It was assigned on February 9, 2023 and is currently active in the NPPES registry.

What is the specialty of Ms. Mary R Rasor, COTA/L?

Ms. Mary R Rasor, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46TA09231000.

Where does Ms. Mary R Rasor, COTA/L practice?

The practice location is 33 Central Ave, Midland Park, NJ 07432-1401. The office can be reached at 201-632-1900 (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 1992402010 directly on the NPPES registry website.

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