CARECITY

Provider Demographics

• NPI: 1982387015
• Name: CARECITY
• Entity Type: Organization
• Organization Name: CARECITY
• Authorized Official - Title/Position: CEO
• Authorized Official - Prefix: MISS
• Authorized Official - First Name: ATHENA
• Authorized Official - Middle Name: POONACHA
• Authorized Official - Last Name: BOLLERA
• Authorized Official - Phone: 732-877-4799
• Mailing Address - Street 1: 21 MORAINE RD
• Mailing Address - City: EDISON
• Mailing Address - State: NJ
• Mailing Address - Zip Code: 08820-3663
• Mailing Address - Country: US
• Mailing Address - Phone: 732-877-4799
• Mailing Address - Fax: 862-322-6598
• Practice Address - Street 1: 21 MORAINE RD
• Practice Address - City: EDISON
• Practice Address - State: NJ
• Practice Address - Zip Code: 08820-3663
• Practice Address - Country: US
• Practice Address - Phone: 732-877-4799
• Practice Address - Fax: 862-322-6598
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2023-08-07
• Last Update Date: 2024-04-19

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	225XP0019X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Physical Rehabilitation	Group - Multi-Specialty
No	2251C2600X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Cardiopulmonary	Group - Multi-Specialty
No	2251G0304X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Geriatrics	Group - Multi-Specialty
No	2251N0400X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Neurology	Group - Multi-Specialty
No	2251P0200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Pediatrics	Group - Multi-Specialty
No	2251S0007X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Sports	Group - Multi-Specialty
No	2251X0800X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Orthopedic	Group - Multi-Specialty
No	225200000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapy Assistant		Group - Multi-Specialty
No	225XF0002X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Feeding, Eating & Swallowing	Group - Multi-Specialty
No	225XG0600X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Gerontology	Group - Multi-Specialty
No	225XL0004X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Low Vision	Group - Multi-Specialty
No	225XM0800X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Mental Health	Group - Multi-Specialty
No	225XN1300X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Neurorehabilitation	Group - Multi-Specialty
No	225XP0200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Pediatrics	Group - Multi-Specialty
No	235Z00000X	Speech, Language and Hearing Service Providers	Speech-Language Pathologist		Group - Multi-Specialty