Individual provider Active NPI

Claudia Abreu, OTR/L

  • Occupational Therapist
  • Fairfield, CT
National Provider Identifier
1366768889
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
00001959 Issued in CT
Practice address
175 Jefferson St
Fairfield, CT 06825-1078
Phone
(203) 365-6443
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Home for the Elderly of Fairfield County Incorporated 9 clinicians

Practice addresses (Care Compare)

4200 Park Ave
Bridgeport, CT 06604-1049
Phone (203) 365-6400

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20160715000085 CT Practitioner - Occupational Therapist in Private Practice 5395037188 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1959CTMDClinical Psychologist
00001959CTMDOccupational Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 00001959 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

175 Jefferson St
Fairfield, CT 06825-1078

Mailing address

175 Jefferson St
Fairfield, CT 06825-1078
Phone (203) 365-6443

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2010.

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1366768889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 JEFFERSON ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251078",
            "telephone_number": "203-365-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JEFFERSON ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251078",
            "telephone_number": "203-365-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABREU",
        "first_name": "CLAUDIA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "00001959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.