Individual provider Active NPI

Karen Brazauskas, OTR/L

  • Occupational Therapist
  • Oakville, CT
National Provider Identifier
1063991636
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
001114 Issued in CT
Practice address
Jumpstart Therapy and Fitness Network
900 Main St
Oakville, CT 06779
Phone
(860) 945-1301
NPI assigned
Aug 14, 2018
Last updated
Aug 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 001114 CT Primary
Pediatric Occupational Therapist 225XP0200X 001114 CT

Addresses

Primary practice location

Jumpstart Therapy and Fitness Network
900 Main St
Oakville, CT 06779

Mailing address

179 Dublin Hill Rd
Southbury, CT 06488-1896
Phone (203) 525-5458

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

State licenses

LicenseStateTypeSpecialty
001114CTMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1063991636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 DUBLIN HILL RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881896",
            "telephone_number": "203-525-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JUMPSTART THERAPY AND FITNESS NETWORK",
            "address_2": "900 MAIN ST",
            "city": "OAKVILLE",
            "state": "CT",
            "postal_code": "06779",
            "telephone_number": "860-945-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZAUSKAS",
        "first_name": "KAREN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "001114",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CT",
            "license": "001114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.