Individual provider Active NPI

Christopher E Maroon, COTA/L,CLT

  • Occupational Therapy Assistant
  • Griswold, CT
National Provider Identifier
1306776919
Registry record updated May 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
001672 Issued in CT
Practice address
54 Richardson Hill Rd
Griswold, CT 06351-9129
Phone
(860) 917-1743
NPI assigned
May 23, 2026
Last updated
May 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 001672 CT Primary

Addresses

Primary practice location

54 Richardson Hill Rd
Griswold, CT 06351-9129

Mailing address

54 Richardson Hill Rd
Griswold, CT 06351-9129
Phone (860) 917-1743

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
001672CTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1779494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779494400000",
    "number": "1306776919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 RICHARDSON HILL RD",
            "city": "GRISWOLD",
            "state": "CT",
            "postal_code": "063519129",
            "telephone_number": "860-917-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 RICHARDSON HILL RD",
            "city": "GRISWOLD",
            "state": "CT",
            "postal_code": "063519129",
            "telephone_number": "860-917-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROON",
        "first_name": "CHRISTOPHER",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "COTA/L,CLT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-23",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "001672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griswold, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2026; 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.