Provider Demographics
NPI:1871392704
Name:MIGHTY MASTERS THERAPY
Entity type:Organization
Organization Name:MIGHTY MASTERS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIPASQUALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-664-4085
Mailing Address - Street 1:1314 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELMAR
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-2715
Mailing Address - Country:US
Mailing Address - Phone:848-404-9395
Mailing Address - Fax:848-404-9396
Practice Address - Street 1:1314 MAIN ST
Practice Address - Street 2:
Practice Address - City:BELMAR
Practice Address - State:NJ
Practice Address - Zip Code:07719-2715
Practice Address - Country:US
Practice Address - Phone:848-404-9395
Practice Address - Fax:848-404-9396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty