Organization Active NPI

Center for Pediatric Therapy - Madison, LLC

  • Pediatric Occupational Therapist
  • Madison, CT
National Provider Identifier
1073676185
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
CENTER FOR PEDIATRIC THERAPY - MADISON, LLC
Practice address
71 Bradley Rd
Madison, CT 06443-2662
Phone
(203) 318-1824
Fax
(203) 318-1821
NPI assigned
Dec 19, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Diane Kacin Kinsella
Title
Business Manager
Phone
(203) 876-2000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X NU
Pediatric Occupational Therapist 225XP0200X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

71 Bradley Rd
Madison, CT 06443-2662

Mailing address

203 Broad St
Unit C-2
Milford, CT 06460-4751
Phone (203) 876-2000

National Provider Directory

National Provider Directory

Locations

71 Bradley Rd
Madison, CT 06443
Phone (203) 318-1824

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073676185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BROAD ST",
            "address_2": "UNIT C-2",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604751",
            "telephone_number": "203-876-2000",
            "fax_number": "203-876-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 BRADLEY RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432662",
            "telephone_number": "203-318-1824",
            "fax_number": "203-318-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PEDIATRIC THERAPY - MADISON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KINSELLA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "KACIN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "203-876-2000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.