Active NPI
Lindsey Shaw Bruno
- Pediatric Occupational Therapist
- Cheshire, CT
National Provider Identifier
1215178447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 3425
- Practice address
- 46 Roxbury CT
Cheshire, CT 06410-1511 - Phone
- (203) 271-3288
- Fax
- (203) 730-0880
- NPI assigned
- Mar 18, 2009
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 3425 | CT | Primary |
Addresses
Primary practice location
46 Roxbury CT
Cheshire, CT 06410-1511
Mailing address
46 Roxbury CT
Cheshire, CT 06410-1511
Phone (203) 271-3288
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 |
|---|---|---|---|
| 3425 | CT | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cindy Jackson Children'S Therapy Services | Pediatrics | Past | Accepting new patients |
| Children'S Therapy Services | 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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Cheshire, CT
- NPI 1598882219
-
- Pediatric Occupational Therapist
- Cheshire, CT
- NPI 1700245958
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237334400000",
"number": "1215178447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 ROXBURY CT",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064101511",
"telephone_number": "203-271-3288",
"fax_number": "203-730-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 ROXBURY CT",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064101511",
"telephone_number": "203-271-3288",
"fax_number": "203-730-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "LINDSEY",
"middle_name": "SHAW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-18",
"last_updated": "2009-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CT",
"license": "3425",
"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 Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.