MICHAEL TOLERICO OTR/L
NPI 1780228254
Occupational Therapist - Hand in Montclair, NJ

Active since October 29, 2019Accepts Medicare Assignment
88.13/100
CMS Quality Rating
1 GREENWOOD AVE, MONTCLAIR, NJ 07042(973) 746-2424 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Tolerico Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL TOLERICO OTR/L (NPI 1780228254) is an individual hand provider in Montclair, New Jersey, licensed in New Jersey (46TR00898000) and active in the NPI registry since October 2019. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1780228254
Entity TypeIndividualMale
Primary Taxonomy225XH1200X
Provider Legal NameMICHAEL TOLERICOCredential: OTR/L
Location Address1 GREENWOOD AVEMontclair, NJ 07042-3649
Mailing Address576 Broadhollow RdMelville, NY 11747-5002
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 29, 2019
✔ NPI 1780228254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License✔ Licensed in NJ · 46TR00898000
1 GREENWOOD AVE, Montclair, NJ 07042

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Tolerico Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698107159
PECOS Enrollment IDI20191121001802

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Tolerico reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Occupational Therapist
1 GREENWOOD AVE
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
Occupational Therapist
30 WINONAH AVE
Wayne, NJ 07470
  • Reassigned Medicare billing, New Jersey enrollment
  • 41 clinicians in this Medicare group
Physical Therapist
11 MALKE DR
Ocean, NJ 07712
  • Reassigned Medicare billing, New Jersey enrollment
  • 175 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
883 services43 patients
Therapy procedure using functional activities 97530
A 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.
676 services45 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
673 services39 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This 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.
442 services39 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
348 services42 patients
Application of hot wax bath 97018
A 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.
312 services26 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.03
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1 GREENWOOD AVE, SUITE 100
MONTCLAIR, NJ 07042
Physical Therapist (Orthopedic)
1 GREENWOOD AVE
MONTCLAIR, NJ 07042
Occupational Therapist
1 GREENWOOD AVE
MONTCLAIR, NJ 07042
Physical Therapist
1 GREENWOOD AVE
MONTCLAIR, NJ 07042
Physical Therapist
1 GREENWOOD AVE
MONTCLAIR, NJ 07042
Physical Therapy Assistant
1 GREENWOOD AVE
MONTCLAIR, NJ 07042
Physical Therapist
1 GREENWOOD AVE, SUITE 100
MONTCLAIR, NJ 07042
Specialist/Technologist (Athletic Trainer)
1 GREENWOOD AVE
MONTCLAIR, NJ 07042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Tolerico's NPI number?

The NPI number for Michael Tolerico is 1780228254. It was assigned to this individual provider in the NPPES registry on October 29, 2019.

Where is Michael Tolerico located?

Michael Tolerico practices at 1 Greenwood Ave, Montclair, NJ 07042. The listed phone number is (973) 746-2424.

What is Michael Tolerico's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Is Michael Tolerico enrolled in Medicare?

Yes. Michael Tolerico is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Tolerico's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Tolerico reassigns Medicare benefits to 3 organizations: Professional Occupational & Physical Therapy, PLLC (Montclair, NJ), Ignite Rehab Corp (Wayne, NJ) and Mobile Therapy Services, Inc. (Ocean, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Tolerico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Tolerico accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Michael Tolerico as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Tolerico was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.