MICHAEL TOLERICO OTR/L
NPI 1780228254
Occupational Therapist - Hand in Montclair, NJ
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
Specialties & Licenses
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.
Medicare Billing Reassignments
3Medicare 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.
Montclair, NJ 07042
- Reassigned Medicare billing, New Jersey enrollment
- 306 clinicians in this Medicare group
Wayne, NJ 07470
- Reassigned Medicare billing, New Jersey enrollment
- 41 clinicians in this Medicare group
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.
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.
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.
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.