Individual provider Active NPI

Kristen Marie Leopoldi

  • Occupational Therapist
  • Norwalk, CT
National Provider Identifier
1326773524
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5854 Issued in CT
Practice address
76 W Rocks Rd
Norwalk, CT 06851-2207
Phone
(203) 847-5893
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 5854 CT Primary

Addresses

Primary practice location

76 W Rocks Rd
Norwalk, CT 06851-2207

Mailing address

100 Oakview Dr Unit 3-209
Trumbull, CT 06611-4770
Phone (646) 739-6981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230209002045 CT Practitioner - Occupational Therapist in Private Practice 6800268301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5854CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Rehab CT PLLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

36 Russ St
Fl 3
Hartford, CT 06106
Phone (301) 785-2099

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326773524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OAKVIEW DR UNIT 3-209",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114770",
            "telephone_number": "646-739-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W ROCKS RD",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068512207",
            "telephone_number": "203-847-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOPOLDI",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "5854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.