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

Mr. Burt Michael Lacivita, MSOTR

Individual provider Hand Occupational Therapist · NPI 1659549095

Mr. Burt Michael Lacivita, MSOTR is a Hand Occupational Therapist in West Orange, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2008

Practice location Address checks out

81 Northfield Ave Ste 104
West Orange, NJ 07052-5342
Phone: (973) 325-0229
Fax: (973) 325-1105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hand Occupational Therapist (primary) Taxonomy 225XH1200X · Licence 46TR00395600 (NJ)

Record details

NPI number1659549095
Entity typeIndividual (Type 1)
GenderMale
Credentials MSOTR
Sole proprietorYes
NPI enumeratedFebruary 19, 2008
Last updated in NPPESSeptember 24, 2009

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