Active NPI
Jenna Marie McDuffee, OTR/L
- Occupational Therapist
- Ridgefield, CT
National Provider Identifier
1114431038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12507
- Practice address
- 484 Ridgebury Rd
Ridgefield, CT 06877-1228 - Phone
- (203) 801-5254
- NPI assigned
- Nov 30, 2017
- 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 Therapist | 225X00000X | 12507 | MA | Primary |
Addresses
Primary practice location
484 Ridgebury Rd
Ridgefield, CT 06877-1228
Mailing address
192 Leonard Rd
Stafford Springs, CT 06076-3303
Phone (860) 930-2920
Other practice location 1
120 Webster Square Rd
Berlin, CT 06037-2329
Phone (860) 420-3800
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 |
|---|---|---|---|
| 12507 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgebury Farm and Stables | Occupational Therapist | Current | Accepting new patients |
Locations
484 Ridgebury Rd
Ridgefield, CT 06877
Phone (203) 577-8684
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Ridgefield, CT
- NPI 1851000749
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1114431038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 LEONARD RD",
"city": "STAFFORD SPRINGS",
"state": "CT",
"postal_code": "060763303",
"telephone_number": "860-930-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 RIDGEBURY RD",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068771228",
"telephone_number": "203-801-5254"
}
],
"practiceLocations": [
{
"address_1": "120 Webster Square Rd",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "CT",
"postal_code": "060372329",
"country_code": "US",
"telephone_number": "860-420-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDUFFEE",
"first_name": "JENNA",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-30",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "12507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.