Patricia Haag, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

111 New Haven Ave
Derby, CT 06418-2197

Phone

(203) 735-8336

Fax

(203) 735-3704

NPI assigned

May 8, 2007

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

Other identifiers 2

Other names 1

• Patricia Ryan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1255544078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW HAVEN AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182197",
            "telephone_number": "203-735-8336",
            "fax_number": "203-735-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NEW HAVEN AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182197",
            "telephone_number": "203-735-8336",
            "fax_number": "203-735-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAG",
        "first_name": "PATRICIA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50PTSOUTHCT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTHPLANS",
            "identifier": "ANCII53",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "RYAN",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark S Grogan, MD
• Joseph Blaise Guarnaccia, M.D.
• Julie Susan Guilmette, LCSW
• Feng Hua Guo, MD
• Elena N Gutman, M.D.
• Maryann E Hagberg, RD,CDN
• Dawn Marie Hall, LPC-A
• Dwayne Alansier Hall, DNP
• Edward Halstead, M.D.
• Sana Hanif, M.D

• Pediatric Occupational Therapist in Derby, CT
• Providers in Derby, 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 Sep 11, 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.