Kaitlyn McIsaac, OT

Individual provider Active NPI Occupational Therapist · Weatogue, CT

NPI 1184474124 · NPPES record last updated Mar 25, 2024

Key facts

NPI
1184474124
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
6398 (CT)
Practice address
110 Hopmeadow St
Weatogue, CT 06089-9407
Phone
(860) 284-9779
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6398CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Development, LLC Past
since Mar 31, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6398 CT Yes

Addresses

Primary practice location

110 Hopmeadow St
Weatogue, CT 06089-9407

Mailing address

PO Box 421
Avon, CT 06001-0421
Phone (860) 284-9779

Other providers in Weatogue, CT

All providers in Weatogue, CT · Occupational Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.