Active NPI
Kristen T Deely, OTR/L
- Occupational Therapist
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3974
- Practice address
- 1320 W Main St
Waterbury, CT 06708-3119 - Phone
- (203) 755-7115
- Fax
- (203) 755-7067
- NPI assigned
- Mar 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3974 | CT | Primary |
Addresses
Primary practice location
1320 W Main St
Waterbury, CT 06708-3119
Mailing address
1320 W Main St
Waterbury, CT 06708-3119
Phone (203) 755-7115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
499 Farmington Ave
Suite 300
Farmington, CT 06032-1933
Phone (860) 549-3210
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.04 of 100
- Quality
- 98.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starling Physicians, PLLC | Current | Accepting new patients | |
| Starling Physicians PLLC | Current | Accepting new patients | |
| Orthopedic Associates of Hartford,PC | Current | Accepting new patients | |
| Orthopedic Associates of Hartford,PC | Current | Accepting new patients | |
| Orthopedic Associates of Hartford,PC | Current | Accepting new patients |
Locations
100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830
499 Farmington Ave
Ste 300
Farmington, CT 06032
Phone (860) 549-8986
345 Western Blvd
Glastonbury, CT 06033
Phone (860) 549-8288
31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8208
2110 Silas Deane Hwy
Rocky Hill, CT 06067
Organizations & group practices 5
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.
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- Durable Medical Equipment & Medical Supplies
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-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1265501522
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, CT
- NPI 1760355861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1386985901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 W MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083119",
"telephone_number": "203-755-7115",
"fax_number": "203-755-7067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 W MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083119",
"telephone_number": "203-755-7115",
"fax_number": "203-755-7067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEELY",
"first_name": "KRISTEN",
"middle_name": "T",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-06",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "3974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.