Madison P Altermatt, OTR/L
Individual provider Active NPI Occupational Therapist · Bridgeport, CT
NPI 1366911588 · NPPES record last updated Feb 24, 2021
Key facts
- NPI
- 1366911588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 4200 Park Ave
Bridgeport, CT 06604-1049 - Phone
- (203) 365-6443
- NPI assigned
- Nov 16, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210305001870 | CT | Practitioner - Occupational Therapist in Private Practice | 8921414541 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes |
Addresses
Primary practice location
4200 Park Ave
Bridgeport, CT 06604-1049
Mailing address
4200 Park Ave
Bridgeport, CT 06604-1049
Other providers in Bridgeport, CT
- Allergy Center of Connecticut, P.C.
- Jamie Almodovar
- Christine Nicole Aloi
- David F Altamirano
- Nicole Altbaum-Nash
- Alternate Nursing Care
- Jennifer M Alvarado
- Abigail Alvarez-Quiles
- Michelle Ribas Alves
- Sheree Amankwah
All providers in Bridgeport, CT · Occupational Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.