Patra Vongsoasup
NPI 1265839526ActiveIndividual· Occupational Therapist· Florham Park, NJ
Occupational Therapist with Summit Medical Group PA, practicing in Florham Park, New Jersey. Medicare paid $44,875 for services to 79 patients in 2024.
Overview
| NPI | 1265839526 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Dec 1, 2014 |
| Last updated in NPPES | Mar 2, 2022 |
| Certified by provider | Mar 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
| Rehabilitation Hospital | 283X00000X | 46TR00670500 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 79 |
|---|---|
| Services billed | 2,096 across 13 procedure codes |
| Paid by Medicare | $44,875 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Summit Medical Group PABerkeley Heights, NJ · 1,212 clinicians
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