GEHAN BOTORS – Occupational Therapy Assistant, NPI 1023649639

GEHAN BOTORS is a healthcare provider. based in Nutley, New Jersey. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 009376 (NY). The NPI Number for GEHAN BOTORS is 1023649639

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
GEHAN BOTORS
NPI
1023649639
Phone
(347) 204-6891
Address
95 JOERG AVE
Enumeration Date
1 February 2020
Last Update Date
1 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8565066281
Graduation Year
2021 (5 years ago)
PAC ID
1850821521
Group Practice PAC ID
0840658084
Professional Enrollment ID
I20250211000556
Address ID
NJ071095346BE1616XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,269 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for GEHAN BOTORS

  • 95 JOERG AVE

    NUTLEY, NJ 071101054

    Phone: (347) 204-6891

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250211000556IOccupational Therapist In Private PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840658084View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeNY
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What identifier follows GEHAN BOTORS across health systems?
The NPI 1023649639 uniquely identifies GEHAN BOTORS in U.S. healthcare data.
Should I treat GEHAN BOTORS as an active provider?
Patients and plans typically see GEHAN BOTORS as active in the national extract.
What type of care does GEHAN BOTORS provide?
GEHAN BOTORS's profile centers on Occupational Therapy Assistant. Clinical services aligned with this taxonomy classification.
Is GEHAN BOTORS tied to Nutley, New Jersey?
If you are local to Nutley, New Jersey, GEHAN BOTORS may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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