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

Mark Ravinsky

Individual provider Occupational Therapist · NPI 1780152793

Mark Ravinsky is an Occupational Therapist in Private Practice in Old Bridge, New Jersey. Qualified in 2017, 9 years ago. Practices with Rise Up Rehab Physical Therapy PLLC, an 8-clinician group. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2018
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Practice location Address checks out

2698 Route 516 Ste B
Old Bridge, NJ 08857-2305
Phone: (732) 637-9170
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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 46TR00810700 (NJ)

Record details

NPI number1780152793
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 7, 2018
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing address435 Hampton Ct, Manalapan, NJ 07726-3280

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Rise Up Rehab Physical Therapy Pllc — 8 clinicians
Accepts Medicare assignment Not indicated

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