Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RAYMOND WADE RANSOM, ATC, PTA
Active Sole ProprietorMR. RAYMOND WADE RANSOM, ATC, PTA is a Occupational Therapist healthcare provider located in SOUTH ORANGE, New Jersey. NPI 1306067426 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SOUTH ORANGE, NJ
Registration Details
- NPI Number
- 1306067426
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2007 (19.106332520914 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
40QB00190100 (NJ)25MT00138700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 S ORANGE AVERECREATION CENTERSOUTH ORANGE, NJ, 070792646Browse NJ providers · Browse ZIP 07079
- Phone
- 9733136394
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Athletic Trainer
Other Occupational Therapist Providers in SOUTH ORANGE, NJ
| Name | Credential | NPI |
|---|---|---|
| JILLIAN WEBBER | PTA | 1962224303 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.