Active NPI
Jillian Laggis, OTRL
- Occupational Therapist
- Guilford, CT
National Provider Identifier
1346002078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6361
- Practice address
- 197 Village Pond Rd
Guilford, CT 06437-2049 - Phone
- (203) 859-1264
- Fax
- (475) 900-3040
- NPI assigned
- Jan 29, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 6361 | CT | Primary |
Addresses
Primary practice location
197 Village Pond Rd
Guilford, CT 06437-2049
Mailing address
197 Village Pond Rd
Guilford, CT 06437-2049
Phone (203) 859-1264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240514001620 | CT | Practitioner - Occupational Therapist in Private Practice | 3577904150 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1346002078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 VILLAGE POND RD",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372049",
"telephone_number": "203-859-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 VILLAGE POND RD",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372049",
"telephone_number": "203-859-1264",
"fax_number": "475-900-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGGIS",
"first_name": "JILLIAN",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-29",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "6361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.