Active NPI
Amanda Sassu, OCCUPATIONAL THERAPI
- Occupational Therapist
- Cheshire, CT
National Provider Identifier
1174186944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5073
- Practice address
- 382 S Main St
Cheshire, CT 06410-3115 - Phone
- (203) 250-9663
- Fax
- (203) 699-9641
- NPI assigned
- Apr 17, 2019
- 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 | 5073 | CT | Primary |
Addresses
Primary practice location
382 S Main St
Cheshire, CT 06410-3115
Mailing address
382 S Main St
Cheshire, CT 06410-3115
Phone (203) 250-9663
Other practice location 1
308 Racebrook Road, Unit a
Orange, CT 06477
Phone (203) 920-1885
Other practice location 2
816 Broad St Ste 17
Meriden, CT 06450-4350
Phone (203) 250-9663
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheshire Fitness Zone, LLC | Past | Accepting new patients |
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.
-
- Pediatric Physical Therapist
- Cheshire, CT
- NPI 1205961547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1174186944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 S MAIN ST",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103115",
"telephone_number": "203-250-9663",
"fax_number": "203-699-9641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 S MAIN ST",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103115",
"telephone_number": "203-250-9663",
"fax_number": "203-699-9641"
}
],
"practiceLocations": [
{
"address_1": "308 RACEBROOK ROAD, UNIT A",
"address_purpose": "LOCATION",
"city": "ORANGE",
"state": "CT",
"postal_code": "06477",
"country_code": "US",
"telephone_number": "203-920-1885",
"fax_number": "203-920-1881",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "816 Broad St Ste 17",
"address_purpose": "LOCATION",
"city": "Meriden",
"state": "CT",
"postal_code": "064504350",
"country_code": "US",
"telephone_number": "203-250-9663",
"fax_number": "203-699-9641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SASSU",
"first_name": "AMANDA",
"credential": "OCCUPATIONAL THERAPI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-17",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "5073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.