Healthcare Provider Details

I. General information

NPI: 1457295198
Provider Name (Legal Business Name): MICHELLE ANN ARTUSO MSOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VETERANS WAY
PARAMUS NJ
07652-4100
US

IV. Provider business mailing address

9 AUSTIN PL
HASBROUCK HEIGHTS NJ
07604-1438
US

V. Phone/Fax

Practice location:
  • Phone: 201-634-8200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR01087700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: