Individual provider Active NPI

Jacquelyn Mary Hoffower, OTR

  • Occupational Therapist
  • Dayville, CT
National Provider Identifier
1275835639
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
000599 Issued in CT
Practice address
150 Ware Rd
Dayville, CT 06241-1126
Phone
(860) 774-8574
Fax
(860) 779-5425
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 000599 CT Primary

Addresses

Primary practice location

150 Ware Rd
Dayville, CT 06241-1126

Mailing address

PO Box 428
Dayville, CT 06241-0428
Phone (860) 774-8574

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

LicenseStateTypeSpecialty
000599CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Westview Nursing Care & Rehabilitation Center Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1275835639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062410428",
            "telephone_number": "860-774-8574",
            "fax_number": "860-779-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WARE RD",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062411126",
            "telephone_number": "860-774-8574",
            "fax_number": "860-779-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFOWER",
        "first_name": "JACQUELYN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "000599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.