MS. RHONDA KAPLAN MS OTR CHT
NPI 1770543845
Occupational Therapist in Fair Lawn, NJ
NPI Status: Active since March 24, 2006
Contact Information
23-00 ROUTE 208
FAIR LAWN, NJ
ZIP 07410
Phone: (201) 796-6140
Fax: (201) 796-6372
- Individual
- Female
- Years of Experience 50
- Occupational Therapist
- Accepts Medicare Approved Payment
- Medicare Quality Reporting
About RHONDA KAPLAN
This page provides the complete NPI Profile along with additional information for Rhonda Kaplan, a provider established in Fair Lawn, New Jersey with a medical specialization in Occupational Therapist and more than 50 years of experience. The healthcare provider is registered in the NPI registry with number 1770543845 assigned on March 2006. The practitioner's primary taxonomy code is 225X00000X with license number 46TR00223400 (NJ). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1770543845
- Provider Name
- MS. RHONDA KAPLAN MS OTR CHT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 23-00 ROUTE 208 FAIR LAWN, NJ 07410
- Location Phone
- (201) 796-6140
- Location Fax
- (201) 796-6372
- Mailing Address
- 243 PASCACK AVE EMERSON, NJ 07630
- Mailing Phone
- (201) 261-5155
- Medical School Name
- OTHER
- Graduation Year
- 1977
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-24-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Occupational Therapist
- Taxonomy Code
- 225X00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 46TR00223400
- License State
- NJ
- Taxonomy Description
- An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 067451RKH | MEDICARE ID-TYPE UNSPECIFIED (04) |
Medicare Participation & PECOS Enrollment Status
Rhonda Kaplan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 4880659564
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20041122000785
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Application of hot and cold baths, each 15 minutes
Application of hot wax bath
Application of whirlpool therapy
Evaluation for occupational therapy, typically 45 minutes
Re-evaluation for occupational therapy, typically 30 minutes
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
Therapy procedure using functional activities
Therapy procedure using massage, each 15 minutes
Training for self-care or home management, each 15 minutes
This procedure involves alternating between hot and cold baths, each lasting for 15 minutes. The hot bath helps to increase blood flow and relax muscles, while the cold bath can reduce inflammation and numb pain. This alternation can aid in recovery and promote overall well-being.
This service was performed 81 times for 13 patientsA hot wax bath, also known as paraffin wax treatment, is a therapy often used for pain relief in your hands, feet, or other areas. The warm wax helps increase blood flow, relax muscles, and reduce stiffness in joints. It's completely safe and can be especially beneficial for those with arthritis or other similar conditions.
This service was performed 22 times for 12 patientsWhirlpool therapy involves submerging a body part or the whole body in heated water. The swirling water helps to improve blood circulation, relax muscles, and promote healing. It's often used for conditions like arthritis, muscle strains, and post-surgical rehab.
This service was performed 263 times for 30 patientsAn evaluation for occupational therapy is a comprehensive assessment of your physical and mental abilities. In this 45-minute session, the therapist observes your skills and challenges in performing daily tasks. The goal is to identify ways to improve your independence and quality of life.
This service was performed 46 times for 45 patientsA re-evaluation for occupational therapy is a 30-minute session where your therapist assesses your progress and updates your treatment plan. It's crucial to ensure the therapy continues to meet your needs and help improve your daily living skills.
This service was performed 48 times for 28 patientsThis therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
This service was performed 541 times for 64 patientsA therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
This service was performed 751 times for 59 patientsThis therapy involves the application of pressure to your body's soft tissues using hands. It helps alleviate pain, reduce stress, and promote relaxation. Each session lasts for 15 minutes and can be tailored to your specific needs.
This service was performed 274 times for 57 patientsThis service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
This service was performed 115 times for 57 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Elder Maltreatment Screen and Follow-Up Plan | 99% | 78 |
| Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 86% | 79 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 79% | 78 |
| Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1770543845, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
FAIR LAWN, NJ 07410
FAIR LAWN, NJ 07410
FAIR LAWN, NJ 07410
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770543845, enumerated as an "individual" on March 24, 2006.
The provider is located at 23-00 ROUTE 208 FAIR LAWN, NJ 07410 and the phone number is (201) 796-6140.
Occupational Therapist with taxonomy code 225X00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.