Mrs Lorine Staci Forman, OTRL - Occupational Therapist in Pennington, NJ

Mrs Lorine Staci Forman, OTRL is a Occupational Therapist based in Pennington, New Jersey. Mrs Lorine Staci Forman is licensed to practice in New Jersey (license number 46TR00110900) and her current practice location is 800 Denow Rd Ste U, Pennington, New Jersey. She can be reached at her office (for appointments etc.) via phone at (609) 737-8131.

NPI number for Mrs Lorine Staci Forman is 1235253873 and her current mailing address is 1311 Mamaroneck Ave Ste 140, White Plains, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235253873.

Contact Information

Mrs Lorine Staci Forman, OTRL
800 Denow Rd Ste U,
Pennington, NJ 08534-5246
(609) 737-8131
(201) 847-0985

Map and Direction




Healthcare Provider's Profile

Full NameMrs Lorine Staci Forman
GenderFemale
SpecialityOccupational Therapist
Location800 Denow Rd Ste U, Pennington, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235253873
  • Provider Enumeration Date: 03/19/2007
  • Last Update Date: 03/24/2022

Medical Identifiers

Medical identifiers for Mrs Lorine Staci Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235253873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OC009978 (Pennsylvania)Secondary
225X00000XOccupational Therapist 46TR00110900 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lorine Staci Forman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lorine Staci Forman, OTRL
1311 Mamaroneck Ave Ste 140,
White Plains, NY 10605-5224

Ph: (888) 830-4125
Mrs Lorine Staci Forman, OTRL
800 Denow Rd Ste U,
Pennington, NJ 08534-5246

Ph: (609) 737-8131

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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