MEDICARE: EMILY BYRNE OTR/L

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	225X00000X	Occupational Therapist	46TR01282900	NJ

General Provider Information

NPI Number	:	1457284135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY BYRNE OTR/L

Provider Business Mailing Address
First Line	:	250 LAWRENCE AVE
Second Line	:
City	:	HASBROUCK HEIGHTS
State	:	NJ
Zip	:	07604-2110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1030 MCBRIDE AVE
Second Line	:
City	:	WOODLAND PARK
State	:	NJ
Zip	:	07424-2535
Country	:	US
Telephone Number	:	973-339-9913
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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