Coleman Pediatric Therapy LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

003634 Issued in CT

Legal business name

COLEMAN PEDIATRIC THERAPY LLC

Practice address

155 Boretz Rd
Colchester, CT 06415

Phone

(860) 383-3320

NPI assigned

Aug 8, 2017

Last updated

Aug 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katie J Coleman, OTR/LNPI 1811346224

Title

Owner

Phone

(860) 383-3320

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katie Coleman, MOT, OTR/L

  • Pediatric Occupational Therapist
  • Norwich, CT
  • NPI 1811346224

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1225553571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BORETZ RD",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "06415",
            "telephone_number": "860-383-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BORETZ RD",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "06415",
            "telephone_number": "860-383-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-383-3320",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CT",
            "license": "003634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy#05848)

• Pediatric Occupational Therapist in Colchester, CT
• Providers in Colchester, CT by specialty
• Pediatric Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.