Active NPI
Cameron Belliveau
- Occupational Therapist
- Stamford, CT
National Provider Identifier
1316699606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 30 Buxton Farm Rd
Stamford, CT 06905-1224 - Phone
- (203) 258-6414
- NPI assigned
- Jan 19, 2022
- Sex
- Male
- Sole proprietor
- No
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5819 | CT | MD | Family Nurse Practitioner |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
30 Buxton Farm Rd
Stamford, CT 06905-1224
Mailing address
108 Manor Hill Rd
Stratford, CT 06614-1657
Phone (203) 258-6414
NPI Registry JSON
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1316699606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 MANOR HILL RD",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066141657",
"telephone_number": "203-258-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BUXTON FARM RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069051224",
"telephone_number": "203-258-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLIVEAU",
"first_name": "CAMERON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-19",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.