Waverly Group

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

003422 Issued in CT

Legal business name

WAVERLY GROUP

Practice address

100 Melrose Ave
Suite 100
Greenwich, CT 06830-6257

Phone

(203) 622-8600

Fax

(203) 622-1760

NPI assigned

Nov 9, 2011

Last updated

Nov 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Zalis, OTR/L

Title

Member/Managing Director

Phone

(203) 622-8600

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1134406887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MELROSE AVE",
            "address_2": "SUITE 100",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306257",
            "telephone_number": "203-622-8600",
            "fax_number": "203-622-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MELROSE AVE",
            "address_2": "SUITE 100",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306257",
            "telephone_number": "203-622-8600",
            "fax_number": "203-622-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVERLY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "ZALIS",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "MEMBER/MANAGING DIRECTOR",
        "authorized_official_telephone_number": "203-622-8600",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CT",
            "license": "001840",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CT",
            "license": "003422",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia M Ward, APRN
• Paul Frederick Waters, M.D.
• Ashley Elyse Watson, LCSW
• Renard Watson, BCBA
• Mary C Watts, M.S.
• Maia B Weed, APRN
• David H Wei, MD
• Weill Medical College of Cornell University (Greenwich Hospital)
• Michele Weinberg, R.N.
• Jeffrey Todd Weintraub, M.D.

• Pediatric Occupational Therapist in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Pediatric Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.