Active NPI
Christy Marie Dutko, MS, OTR/L
- Occupational Therapist
- Southbury, CT
National Provider Identifier
1043597388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003866
- Practice address
- 1 Reservoir Office Park Ste 104
1449 Old Waterbury Road
Southbury, CT 06488-3926 - Phone
- (203) 262-9909
- Fax
- (203) 262-9911
- NPI assigned
- Nov 15, 2011
- 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 | 003866 | CT | Primary |
Addresses
Primary practice location
1 Reservoir Office Park Ste 104
1449 Old Waterbury Road
Southbury, CT 06488-3926
Mailing address
176 Warwick Rd
Watertown, CT 06795-1850
Phone (203) 910-7940
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003866 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Kinections, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Southbury, CT
- NPI 1144424185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1043597388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 WARWICK RD",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067951850",
"telephone_number": "203-910-7940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RESERVOIR OFFICE PARK STE 104",
"address_2": "1449 OLD WATERBURY ROAD",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064883926",
"telephone_number": "203-262-9909",
"fax_number": "203-262-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTKO",
"first_name": "CHRISTY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "003866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.