| Jacquelyn Kuhn Provenzano, MOT | |
|
579 Cranbury Rd Ste C, East Brunswick, NJ 08816-5405 | |
| (732) 432-0733 | |
| (732) 432-9131 |
| Full Name | Jacquelyn Kuhn Provenzano |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapy |
| Experience | 12 Years |
| Location | 579 Cranbury Rd Ste C, East Brunswick, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104499433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 46TR00610600 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spine And Sports Medicine Of Hamilton Llc | 0547509051 | 3 |
| Provider Name | Ivyrehab Network Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
| Provider Name | Garden State Spine And Pain Institute Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023196094 PECOS PAC ID: 8729059134 Enrollment ID: O20040802000106 |
| Provider Name | Spine & Sports Medicine Of Hamilton Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982174769 PECOS PAC ID: 0547509051 Enrollment ID: O20190228000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Kuhn Provenzano, MOT Po Box 416495, Boston, MA 02241-6495 Ph: (631) 580-5200 | Jacquelyn Kuhn Provenzano, MOT 579 Cranbury Rd Ste C, East Brunswick, NJ 08816-5405 Ph: (732) 432-0733 |
Kaitlyn Tagliarini, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Carlisle Ct, East Brunswick, NJ 08816 Phone: 845-558-7942 | |
Rachel N Lake, MSOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 579 Cranbury Rd, East Brunswick, NJ 08816 Phone: 732-313-5458 | |
Mrs. Dana Beth Schrager, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150c Tices Ln, East Brunswick, NJ 08816 Phone: 732-698-1100 | |
Mrs. Larissa Rachel Elk, MA, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 Mayfair Court, East Brunswick, NJ 08816 Phone: 732-718-1772 | |
Jacqueline M Stanton, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 19 Fairfield Rd, East Brunswick, NJ 08816 Phone: 732-672-1654 | |
Tu Rehab Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 579 Cranbury Rd Ste C, East Brunswick, NJ 08816 Phone: 732-432-0733 |