Individual provider Active NPI

Jasmin Adriana Recinos, COTA

  • Occupational Therapy Assistant
  • South Windsor, CT
National Provider Identifier
1194530535
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1426 Issued in CT
Practice address
915 Sullivan Ave Ste 3
South Windsor, CT 06074-2165
Phone
(860) 644-2335
Fax
(888) 974-2148
NPI assigned
Feb 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 1426 CT Primary

Addresses

Primary practice location

915 Sullivan Ave Ste 3
South Windsor, CT 06074-2165

Mailing address

77 Cambridge St
Manchester, CT 06042-3507
Phone (860) 836-0967

Other names 1

  • Jasmin Adriana Simmons Former name

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

OrganizationSpecialtyStatusNew patients
Unified Therapy, LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

915 Sullivan Ave
Ste 3
South Windsor, CT 06074
Phone (860) 644-2335

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.

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1194530535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CAMBRIDGE ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423507",
            "telephone_number": "860-836-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SULLIVAN AVE STE 3",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742165",
            "telephone_number": "860-644-2335",
            "fax_number": "888-974-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECINOS",
        "first_name": "JASMIN",
        "middle_name": "ADRIANA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "1426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMIN",
            "last_name": "SIMMONS",
            "middle_name": "ADRIANA",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.