Individual provider Active NPI

Laura Dussault, OTR/CHT

  • Hand Occupational Therapist
  • Danbury, CT
National Provider Identifier
1366483281
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
000144 Issued in CT
Practice address
35 Tamarack Ave
Danbury, CT 06811-4959
Phone
(203) 730-1026
Fax
(203) 730-1027
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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 000144 CT Primary

Addresses

Primary practice location

35 Tamarack Ave
Danbury, CT 06811-4959

Mailing address

105 Newtown Rd # a
Danbury, CT 06810-4194
Phone (203) 739-0765

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
000144CTMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1366483281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NEWTOWN RD # A",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104194",
            "telephone_number": "203-739-0765",
            "fax_number": "203-739-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TAMARACK AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114959",
            "telephone_number": "203-730-1026",
            "fax_number": "203-730-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSSAULT",
        "first_name": "LAURA",
        "credential": "OTR/CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CT",
            "license": "000144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.