Kathryn M Bellows – Occupational Therapy Assistant

Key facts

NPI: 1003182759
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapy Assistant 224Z00000X
License: 001151 (CT)
Practice address: 108 E Lake St
Winsted, CT 06098-1912
Phone: (860) 379-8591
NPI assigned: Mar 27, 2012
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
001151	CT	MD	Addiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapy Assistant	224Z00000X	001151	CT	Yes

Addresses

Primary practice location

108 E Lake St
Winsted, CT 06098-1912

Mailing address

101 Greenview Dr
Waterbury, CT 06708-3931
Phone (203) 597-1397

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 27, 2012.

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1003182759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GREENVIEW DR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083931",
            "telephone_number": "203-597-1397",
            "fax_number": "203-597-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E LAKE ST",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981912",
            "telephone_number": "860-379-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLOWS",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "001151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winsted, CT

All providers in Winsted, CT · Occupational Therapy Assistant in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.