Debra A Widman, MS,OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

002628 Issued in CT

Practice address

37 Elbow Hill Rd
Brookfield, CT 06804-1904

Phone

(203) 376-7341

NPI assigned

Mar 17, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1215178488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ELBOW HILL RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041904",
            "telephone_number": "203-376-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 ELBOW HILL RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041904",
            "telephone_number": "203-376-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDMAN",
        "first_name": "DEBRA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS,OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010196-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "002628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western CT Counseling Associates
• Diana Westin, MS, OTR/L
• Noah Westphal, PHARMD
• Thomas M Whelan, M.D.
• Harold Lee Whitehead Jr., BCBA
• Matthew J Wilcox
• Marion Williams, LPC
• Alison Patricia Winsor, APRN
• Ramy Shaker Wisa, DDS
• Women'S Counseling Center, Inc.

• Occupational Therapist in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.