NPIMap

Individual provider Active NPI

Claire Ellen Rudolph, MSOT

  • Occupational Therapist
  • Wilton, CT
National Provider Identifier
1356716294
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4518 Issued in CT
Practice address
59 Danbury Rd
Wilton, CT 06897-4405
Phone
(203) 210-7124
Fax
(203) 210-7126
NPI assigned
Dec 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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 4518 CT Primary

Addresses

Primary practice location

59 Danbury Rd
Wilton, CT 06897-4405

Mailing address

59 Danbury Rd
Wilton, CT 06897-4405
Phone (203) 210-7124

Other names 1

  • Ms. Claire Ellen Van Valen Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Playmates Behavior Analysis PastSince Sep 20, 2020 Accepting new patients
Connec-Totalk,LLC Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1356716294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974405",
            "telephone_number": "203-210-7124",
            "fax_number": "203-210-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974405",
            "telephone_number": "203-210-7124",
            "fax_number": "203-210-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "CLAIRE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MSOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "4518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "VAN VALEN",
            "middle_name": "ELLEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.