Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

My Therapy Clubhouse

Organization Pediatric Occupational Therapist · NPI 1215636014

My Therapy Clubhouse is a Pediatric Occupational Therapist in Passaic, New Jersey. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

140 Brook Ave
Passaic, NJ 07055-4440
Phone: (732) 644-6643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X

Record details

NPI number1215636014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Faiga Hager — Owner · (732) 644-6643
NPI enumeratedMarch 1, 2023
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address140 Brook Ave, Passaic, NJ 07055-4440

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