Active NPI
Kathleen Ann Hickey, COTA
- Occupational Therapy Assistant
- Torrington, CT
National Provider Identifier
1114137379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 000042
- Practice address
- 225 Wyoming Ave
Torrington, CT 06790-6043 - Phone
- (860) 482-8563
- NPI assigned
- May 23, 2007
- 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 Therapy Assistant | 224Z00000X | 000042 | CT | Primary |
Addresses
Primary practice location
225 Wyoming Ave
Torrington, CT 06790-6043
Mailing address
232 Heights Dr
Torrington, CT 06790-4436
Phone (860) 482-3650
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000042 | CT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114137379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 HEIGHTS DR",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067904436",
"telephone_number": "860-482-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 WYOMING AVE",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067906043",
"telephone_number": "860-482-8563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CT",
"license": "000042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrington, CT
- Danielle Heming
- Michelle Marie Henry, APRN
- Megan Elizabeth Herdic, FNP-BC, FNP-C
- Marjorie Herzog
- Lisa Whitney Heuschkel
- Highland View Manor Inc (Litchfield Woods Healthcare Center)
- Highland View Manor Inc (Litchfield Woods Health Care Center)
- Highland View Manor, Inc. (Litchfield Woods Health Care Center)
- Amanda S Hill, OTR/L
- Jill Gail Hill, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.