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

Individual provider Occupational Therapist · NPI 1851257448

Fady Ishak, OT is an Occupational Therapist in Private Practice in Freehold, New Jersey. Qualified in 2025, 1 year ago. Practices with Prestige Rehab LLC, a 60-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2025
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

27 Weaverville Rd
Freehold, NJ 07728-8192
Phone: (732) 567-3866
Fax: (855) 678-8887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR01277400 (NJ)

Record details

NPI number1851257448
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorYes
NPI enumeratedDecember 29, 2025
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing address27 Weaverville Rd, Freehold, NJ 07728-8192

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Prestige Rehab Llc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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