Active NPI
Carla Romero-Gillespie, COTA
- Occupational Therapy Assistant
- Danbury, CT
National Provider Identifier
1063083525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2119
- Practice address
- 14 Raquel Dr
Danbury, CT 06811-3205 - Phone
- (845) 443-3223
- NPI assigned
- Jul 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 2119 | CT | Primary |
Addresses
Primary practice location
14 Raquel Dr
Danbury, CT 06811-3205
Mailing address
14 Raquel Dr
Danbury, CT 06811-3205
Phone (845) 443-3223
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1063083525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 RAQUEL DR",
"city": "DANBURY",
"state": "CT",
"postal_code": "068113205",
"telephone_number": "845-443-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 RAQUEL DR",
"city": "DANBURY",
"state": "CT",
"postal_code": "068113205",
"telephone_number": "845-443-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO-GILLESPIE",
"first_name": "CARLA",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-06",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CT",
"license": "2119",
"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 Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.