Active NPI
Nadine Crouthamel, COTA
- Occupational Therapy Assistant
- Hamden, CT
National Provider Identifier
1114357159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1309
- Practice address
- 2798 Whitney Avenue
Whitney Manor Convalescent Center
Hamden, CT 06518 - Phone
- (203) 287-8700
- Fax
- (203) 287-7905
- NPI assigned
- Nov 12, 2013
- 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 | 1309 | CT | Primary |
Addresses
Primary practice location
2798 Whitney Avenue
Whitney Manor Convalescent Center
Hamden, CT 06518
Mailing address
2798 Whitney Avenue
Whitney Manor Convalescent Center
Hamden, CT 06518
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": "1384214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384214400000",
"number": "1114357159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2798 WHITNEY AVENUE",
"address_2": "WHITNEY MANOR CONVALESCENT CENTER",
"city": "HAMDEN",
"state": "CT",
"postal_code": "06518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2798 WHITNEY AVENUE",
"address_2": "WHITNEY MANOR CONVALESCENT CENTER",
"city": "HAMDEN",
"state": "CT",
"postal_code": "06518",
"telephone_number": "203-287-8700",
"fax_number": "203-287-7905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUTHAMEL",
"first_name": "NADINE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-12",
"last_updated": "2013-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CT",
"license": "1309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.