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

Individual provider Occupational Therapist · NPI 1699043646

Justin Randsdorp, OTR/L is an Occupational Therapist in Private Practice in Cherry Hill, New Jersey. Qualified in 2011, 15 years ago. Practices with Functional Freedom LLC, a 5-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
15
Licensed in
NJ
In the registry since
2011
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

7 Carnegie Plz
Cherry Hill, NJ 08003-1000
Phone: (877) 407-3422
Fax: (866) 210-1111
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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 46TR00567200 (NJ)

Record details

NPI number1699043646
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedDecember 6, 2011
Last updated in NPPESDecember 6, 2011

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Functional Freedom Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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