Individual provider Active NPI

Marisa Ann Concilio, OTR/L

  • Occupational Therapist
  • Torrington, CT
National Provider Identifier
1033854732
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
245 Alvord Park Rd Ste A2
Torrington, CT 06790-7217
Phone
(860) 482-8539
Fax
(860) 482-0258
NPI assigned
Apr 28, 2022
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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 Primary

Addresses

Primary practice location

245 Alvord Park Rd Ste A2
Torrington, CT 06790-7217

Mailing address

245 Alvord Park Rd Ste A2
Torrington, CT 06790-7217
Phone (860) 482-8539

Other practice location 1

281 N Main St
Bristol, CT 06010-4971
Phone (860) 482-8539

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.08 of 100Reported as group
Quality
88.65
Promoting interoperability
93
Improvement activities
40
Cost
79.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5528CTMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Litchfield Hills Orthopedic Associates, LLP Occupational Therapist CurrentSince May 1, 2022 Accepting new patients
Litchfield Hills Orthopedic Associates, LLP Occupational Therapist CurrentSince May 1, 2022 Accepting new patients

Locations

281 N Main St
Bristol, CT 06010
Phone (860) 582-0822

245 Alvord Park Rd
Torrington, CT 06790
Phone (860) 482-8539

245 Alvord Park Rd
Ste A2
Torrington, CT 06790
Phone (860) 482-8539

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17041/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/AJCADD

Organizations & group practices 2

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": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1033854732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 ALVORD PARK RD STE A2",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067907217",
            "telephone_number": "860-482-8539",
            "fax_number": "860-482-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 ALVORD PARK RD STE A2",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067907217",
            "telephone_number": "860-482-8539",
            "fax_number": "860-482-0258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 N Main St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060104971",
            "country_code": "US",
            "telephone_number": "860-482-8539",
            "fax_number": "860-482-0258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONCILIO",
        "first_name": "MARISA",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.