Tracy Robyn Bordeau, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

03236865 Issued in CT

Practice address

225 Wyoming Ave
Torrington, CT 06790-6043

Phone

(860) 482-8563

Fax

(860) 489-3848

NPI assigned

May 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386853588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OAKDALE RD",
            "city": "TERRYVILLE",
            "state": "CT",
            "postal_code": "067864411",
            "telephone_number": "860-589-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WYOMING AVE",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906043",
            "telephone_number": "860-482-8563",
            "fax_number": "860-489-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEAU",
        "first_name": "TRACY",
        "middle_name": "ROBYN",
        "name_prefix": "Miss",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "03236865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Paul Bodmer, DO
• Bryan Vincent Boffi, M.D.
• Egils Knuts Bogdanovics, M.D.
• Alejandro Luis Bonilla
• Wendy Bonomonte, RDH
• Christina Borel, LCSW, LICSW
• Boris J. Sawula, M.D., P.C.
• Svetlana Borohovich, MD
• Victoria Bothroyd
• Joanne M Bouchard

• Occupational Therapy Assistant in Torrington, CT
• Providers in Torrington, CT by specialty
• Occupational Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.