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

Mrs. Diane Vitillo, OTR/L

Individual provider Gerontology Occupational Therapist · NPI 1639496045

Mrs. Diane Vitillo, OTR/L is a Gerontology Occupational Therapist in Kendall Park, New Jersey. Licensed in New Jersey. Registered with an NPI since 2010.

Licensed in
NJ
In the registry since
2010
Specialties on file
2
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

9 Talcott Ct
Kendall Park, NJ 08824-7013
Phone: (732) 960-1655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Occupational Therapist (primary) Taxonomy 225XG0600X · Licence 46TR00508800 (NJ)
Occupational Therapist Taxonomy 225X00000X · Licence 46TR00508800 (NJ)

Record details

NPI number1639496045
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 24, 2010
Last updated in NPPESJune 7, 2010