Organization Active NPI

Lavender Lane Occupational Therapy PLLC

  • Occupational Therapist
  • New Fairfield, CT
National Provider Identifier
1033042734
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LAVENDER LANE OCCUPATIONAL THERAPY PLLC
Practice address
13 Bridge View Dr
New Fairfield, CT 06812-4010
Phone
(203) 470-3060
NPI assigned
Jun 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cicely Reich-Staniulis, MS, OTR/L
Title
Occupational Therapist
Phone
(203) 470-3060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

13 Bridge View Dr
New Fairfield, CT 06812-4010

Mailing address

13 Bridge View Dr
New Fairfield, CT 06812-4010
Phone (203) 470-3060

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1033042734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BRIDGE VIEW DR",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068124010",
            "telephone_number": "203-470-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BRIDGE VIEW DR",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068124010",
            "telephone_number": "203-470-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER LANE OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "REICH-STANIULIS",
        "authorized_official_first_name": "CICELY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "203-470-3060",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.