MEDICARE: CAREPLUS THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	9911000007	NJ
2	225X00000X	Occupational Therapist	46TR00155000	NJ

General Provider Information

NPI Number	:	1316396104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREPLUS THERAPY LLC

Provider Business Mailing Address
First Line	:	6040 BOULEVARD
Second Line	:	APT 33D
City	:	WEST NEW YORK
State	:	NJ
Zip	:	07093-3825
Country	:	US
Telephone Number	:	973-330-1466
Fax Number	:

Provider Business Practice Location Address
First Line	:	3610 PALISADE AVE
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-4718
Country	:	US
Telephone Number	:	732-549-0743
Fax Number	:	732-692-8447

Authorized Official
Title or Position	:	OWNER
Name	:	LAURA DLHOLUCKY
Credential	:	OTR/L, CHT
Telephone Number	:	973-330-1466

Provider Enumeration Date	:	06/13/2016
Last Update Date	:	06/13/2016

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Directions to “CAREPLUS THERAPY LLC ” Practice Location

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