Individual provider Active NPI

Vito Boffoli, MS OTR/L

  • Occupational Therapist
  • Danbury, CT
National Provider Identifier
1033732680
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
004726 Issued in CT
Practice address
235 Main St
Danbury, CT 06810-6673
Phone
(203) 730-5900
NPI assigned
May 18, 2020
Last updated
May 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 004726 CT Primary

Addresses

Primary practice location

235 Main St
Danbury, CT 06810-6673

Mailing address

235 Main St
Danbury, CT 06810-6673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220404002004 CT Practitioner - Occupational Therapist in Private Practice 9234525031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Mobile Therapy LLCGroup PAC ID 3072939669, 10 clinicians

Practice addresses (Care Compare)

6 Logging Trail LN
Brookfield, CT 06804-1345
Phone (203) 739-5752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
004726CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Mobile Therapy LLC Occupational Therapist CurrentSince Feb 1, 2022 Accepting new patients
Nuvance Health Medical Practice CT, Inc. PastSince May 24, 2020 Accepting new patients
Danbury Hospital PastSince May 24, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1033732680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106673",
            "telephone_number": "203-730-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOFFOLI",
        "first_name": "VITO",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "004726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.