Individual provider Active NPI

Jessica Joy Anthony, COTA/L

  • Occupational Therapy Assistant
  • Southbury, CT
National Provider Identifier
1134626146
Registry record updated Apr 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
001753 Issued in CT
Practice address
990 Main St N
Southbury, CT 06488-1267
Phone
(203) 264-9135
NPI assigned
Apr 7, 2018
Last updated
Apr 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 001753 CT Primary

Addresses

Primary practice location

990 Main St N
Southbury, CT 06488-1267

Mailing address

263 Spencer Rd
Torrington, CT 06790-2533
Phone (860) 806-2821

Other practice location 1

33 North St
Litchfield, CT 06759-2505
Phone (860) 567-9475

Other practice location 2

99 S Canaan Rd
Canaan, CT 06018-2502
Phone (860) 824-3820

Other practice location 3

1360 Torringford St
Torrington, CT 06790-3140
Phone (860) 489-1008

Other practice location 4

215 Forest St
Torrington, CT 06790-4947
Phone (860) 482-8554

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

LicenseStateTypeSpecialty
001753CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gericare Psych LLC Past Accepting new patients
Rose Haven, LTD. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523059200000",
    "number": "1134626146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 SPENCER RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067902533",
            "telephone_number": "860-806-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MAIN ST N",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881267",
            "telephone_number": "203-264-9135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 North St",
            "address_purpose": "LOCATION",
            "city": "Litchfield",
            "state": "CT",
            "postal_code": "067592505",
            "country_code": "US",
            "telephone_number": "860-567-9475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 S Canaan Rd",
            "address_purpose": "LOCATION",
            "city": "Canaan",
            "state": "CT",
            "postal_code": "060182502",
            "country_code": "US",
            "telephone_number": "860-824-3820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1360 Torringford St",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067903140",
            "country_code": "US",
            "telephone_number": "860-489-1008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Forest St",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067904947",
            "country_code": "US",
            "telephone_number": "860-482-8554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "JESSICA",
        "middle_name": "JOY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-07",
        "last_updated": "2018-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "001753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2018; 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.