Individual provider Active NPI

Lois Carlson, OTR/L, CHT

  • Hand Occupational Therapist
  • Glastonbury, CT
National Provider Identifier
1346345410
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
000117 Issued in CT
Practice address
195 Eastern Blvd
Suite 200
Glastonbury, CT 06033-1208
Phone
(860) 527-7161
Fax
(860) 652-8411
NPI assigned
Sep 14, 2006
Last updated
Sep 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 000117 CT Primary

Addresses

Primary practice location

195 Eastern Blvd
Suite 200
Glastonbury, CT 06033-1208

Mailing address

195 Eastern Blvd
Suite 200
Glastonbury, CT 06033-1208
Phone (860) 527-7161

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

LicenseStateTypeSpecialty
000117CTMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1346345410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 EASTERN BLVD",
            "address_2": "SUITE 200",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331208",
            "telephone_number": "860-527-7161",
            "fax_number": "860-652-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 EASTERN BLVD",
            "address_2": "SUITE 200",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331208",
            "telephone_number": "860-527-7161",
            "fax_number": "860-652-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "LOIS",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CT",
            "license": "000117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.