Active NPI
Juliet Olala
- Occupational Therapist
- Ridgefield, CT
National Provider Identifier
1124515051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6484
- Practice address
- 27 Governor St
Ridgefield, CT 06877-4608 - Phone
- (864) 906-0877
- NPI assigned
- Apr 17, 2018
- 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 | 6484 | CT | Primary |
Addresses
Primary practice location
27 Governor St
Ridgefield, CT 06877-4608
Mailing address
27 Governor St
Ridgefield, CT 06877-4608
Phone (864) 906-0877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27 Governor St
Ridgefield, CT 06877-4608
Phone (203) 438-7862
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6484 | CT | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab by Rvna, LLC | Current | Accepting new patients |
Locations
27 Governor St
Ridgefield, CT 06877
Phone (203) 438-5555
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Ridgefield, CT
- NPI 1285082099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1124515051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 GOVERNOR ST",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774608",
"telephone_number": "864-906-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 GOVERNOR ST",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774608",
"telephone_number": "864-906-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLALA",
"first_name": "JULIET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-17",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "6484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgefield, CT
- Nutmeg Psychiatry Inc
- Nutritional and Behavioral Care
- Dennis O'Brien, MD
- Bitty O'Sullivan-Smith
- Benjamin Kuhn Oko, MD
- On-Site Psychological Services PC
- Heather Abby Onorato, PT
- Opticare Eye Health Centers, Inc.
- Orthoconnecticut, PC (Danbury Orthopedics, New Milford Orthopedics, Coastal Orthopaedics)
- Orthoconnecticut, PLLC (Danbury Orthopedics, New Milford Orthopedics, Coastal Orthopaedics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.