| Jessica Bautista, OT | |
|
4810 Belmar Blvd, Wall Township, NJ 07753-6952 | |
| (732) 938-5333 | |
| (732) 938-5680 |
| Full Name | Jessica Bautista |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 4810 Belmar Blvd, Wall Township, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871277871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 46TR01122700 (New Jersey) | Primary |
| Provider Name | Orthonj Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720557432 PECOS PAC ID: 6800225178 Enrollment ID: O20200408000333 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Bautista, OT 4810 Belmar Blvd, Wall Township, NJ 07753-6952 Ph: (732) 938-5333 | Jessica Bautista, OT 4810 Belmar Blvd, Wall Township, NJ 07753-6952 Ph: (732) 938-5333 |
Mrs. Colleen Marie Leonard, OTLRMSHS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Azure Dr, Wall Township, NJ 07753 Phone: 732-687-5687 | |
Stefanie Warner Lukins, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3349 Highway 138 East, Building B Suite A, Abilities In Action, Wall Township, NJ 08724 Phone: 732-280-6050 | |
Kelly Anne Cusick, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3349 Highway 138 East, Building B, Suite A, Wall Township, NJ 07719 Phone: 732-280-6050 | |
Ms. Doreen Ann Riegal, MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3349 Route 138 Bldg Suitea, Wall Township, NJ 07719 Phone: 732-280-6050 | |
Samantha Lynn Ciesmelewski, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3349 Route 138 Ste A, Wall Township, NJ 07719 Phone: 732-280-6050 Fax: 732-280-6056 | |
Vasanti Sharad Gadgil, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2021 State Route 35, Rehab Dept, Wall Township, NJ 07719 Phone: 732-282-1910 Fax: 732-282-1914 | |
Mrs. Leslie Old, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3349 Hwy 138, Bldg. B. Sutie A., Wall Township, NJ 07719 Phone: 732-280-6050 Fax: 732-280-6056 |