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

Individual provider Case Manager/Care Coordinator · NPI 1639816390

Peri Tyberg, OTR/L is a Case Manager/Care Coordinator in Lakewood, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2022
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

24 Blue River Way
Lakewood, NJ 08701-5681
Phone: (718) 775-0743
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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 46TR01251200 (NJ)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1639816390
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedMay 15, 2022
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

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