Active NPI
Claire Noelle Petrasic, OTRL
- Occupational Therapist
- Greenwich, CT
National Provider Identifier
1154525947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC004334L
- Practice address
- 2 Benedict PL Ste 1B
Cornwall Manor
Greenwich, CT 06830-5358 - Phone
- (203) 552-5201
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | OC004334L | PA | Primary |
Addresses
Primary practice location
2 Benedict PL Ste 1B
Cornwall Manor
Greenwich, CT 06830-5358
Mailing address
92 Lantern LN
Palmyra, PA 17078-3831
Phone (717) 832-1064
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 |
|---|---|---|---|
| OC004334L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154525947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 LANTERN LN",
"city": "PALMYRA",
"state": "PA",
"postal_code": "170783831",
"telephone_number": "717-832-1064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BENEDICT PL STE 1B",
"address_2": "CORNWALL MANOR",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068305358",
"telephone_number": "203-552-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRASIC",
"first_name": "CLAIRE",
"middle_name": "NOELLE",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC004334L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.