Individual provider Active NPI

Jan M. Soares, OTR/L

  • Hand Occupational Therapist
  • Glastonbury, CT
National Provider Identifier
1063409399
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
002950 Issued in CO
Practice address
622 Hebron Ave Ste 205
Glastonbury, CT 06033-2421
Phone
(860) 527-7161
Fax
(860) 652-8411
NPI assigned
Oct 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 002950 CO Primary

Addresses

Primary practice location

622 Hebron Ave Ste 205
Glastonbury, CT 06033-2421

Mailing address

622 Hebron Ave Ste 205
Glastonbury, CT 06033-2421
Phone (860) 527-7161

Other names 1

  • Jan Phillips Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Therapy@thehandcenter.directbygreenway.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000391 CT Practitioner - Occupational Therapist in Private Practice 3779675095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

622 Hebron Ave
Suite 205
Glastonbury, CT 06033-5003
Phone (860) 527-7161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002950COMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Orthopaedic Plastic & Hand Surgeons, Inc. CurrentSince Jan 1, 2007 Accepting new patients
Hartford Orthopaedic Plastic & Hand Surgeons Inc Hand CurrentSince Jan 1, 2007 Accepting new patients

Locations

220 Farmington Ave
Ste 1
Farmington, CT 06032

622 Hebron Ave
Ste 205
Glastonbury, CT 06033

195 Eastern Blvd
Ste 200
Glastonbury, CT 06033
Phone (860) 727-9754

Interoperability endpoints

  • Direct secure messaging: therapy@thehandcenter.directbygreenway.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1063409399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 HEBRON AVE STE 205",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332421",
            "telephone_number": "860-527-7161",
            "fax_number": "860-652-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 HEBRON AVE STE 205",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332421",
            "telephone_number": "860-527-7161",
            "fax_number": "860-652-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOARES",
        "first_name": "JAN",
        "middle_name": "M.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CO",
            "license": "002950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Therapy@thehandcenter.directbygreenway.com",
            "affiliation": "N",
            "endpointDescription": "The Hand Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "622 Hebron Ave Ste 205",
            "city": "Glastonbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060332421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "PHILLIPS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.