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

Individual provider Occupational Therapist · NPI 1891279600

Michael Tavares is an Occupational Therapist in Rockaway, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

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

128 Hawthorne Ct
Rockaway, NJ 07866-2252
Phone: (973) 907-3624
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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 46TR00675100 (NJ)

Record details

NPI number1891279600
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 18, 2018
Last updated in NPPESSeptember 18, 2018
Mailing address128 Hawthorne Ct, Rockaway, NJ 07866-2252

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