Active NPI
Chana Schuck, MS, OTR/L
- Occupational Therapist
- Waterbury, CT
National Provider Identifier
1326430257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 002867
- Practice address
- 47 Buckingham St
Waterbury, CT 06710-1900 - Phone
- (203) 233-6282
- NPI assigned
- Mar 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 002867 | CT | Primary |
Addresses
Primary practice location
47 Buckingham St
Waterbury, CT 06710-1900
Mailing address
143 Euclid Ave
Waterbury, CT 06710-1614
Phone (203) 233-6282
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002867 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425254400000",
"number": "1326430257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 EUCLID AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067101614",
"telephone_number": "203-233-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 BUCKINGHAM ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067101900",
"telephone_number": "203-233-6282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUCK",
"first_name": "CHANA",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-02",
"last_updated": "2015-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "002867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.