Active NPI
Jennifer Truong
- Occupational Therapist
- East Granby, CT
National Provider Identifier
1013782671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 005496
- Practice address
- 43 Ridge Blvd
East Granby, CT 06026-9302 - Phone
- (503) 840-8045
- NPI assigned
- Nov 22, 2023
- Last updated
- Nov 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 005496 | CT | Primary |
Addresses
Primary practice location
43 Ridge Blvd
East Granby, CT 06026-9302
Mailing address
555 Willard Ave
Hartford, CT 06111-2631
Phone (860) 666-6951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005496 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1013782671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 WILLARD AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061112631",
"telephone_number": "860-666-6951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 RIDGE BLVD",
"city": "EAST GRANBY",
"state": "CT",
"postal_code": "060269302",
"telephone_number": "503-840-8045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-22",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "005496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Granby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.