Organization Active NPI

Twin State Occupational Therapy PLC

  • Occupational Therapy Assistant
  • Windsor, VT
National Provider Identifier
1225672322
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Legal business name
TWIN STATE OCCUPATIONAL THERAPY PLC
Practice address
54 Main St # LL2
Windsor, VT 05089-1321
Phone
(802) 674-4655
Fax
(802) 674-4656
NPI assigned
Oct 31, 2019
Last updated
Dec 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Donna M. Jenkins, OTNPI 1912209479
Title
Owner
Phone
(802) 674-4655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X NU Primary

Addresses

Primary practice location

54 Main St # LL2
Windsor, VT 05089-1321

Mailing address

PO Box 388
Windsor, VT 05089-0388
Phone (802) 674-4655

National Provider Directory

National Provider Directory

Locations

54 Main St
#2
Windsor, VT 05089
Phone (802) 674-4655

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1225672322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "050890388",
            "telephone_number": "802-674-4655",
            "fax_number": "802-674-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MAIN ST # LL2",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "050891321",
            "telephone_number": "802-674-4655",
            "fax_number": "802-674-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN STATE OCCUPATIONAL THERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-674-4655",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.