Individual provider Active NPI

Kristen T Deely, OTR/L

  • Occupational Therapist
  • Waterbury, CT
National Provider Identifier
1386985901
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3974 Issued in CT
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

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20150105001201 CT Practitioner - Occupational Therapist in Private Practice 2466775143 Reassigns benefits to 2 organizations

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
Orthopedic Associates of Hartford,PCGroup PAC ID 1850382409, 95 clinicians

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 100Reported as group
Quality
98.06
Promoting interoperability
100
Improvement activities
40
Cost
82.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians, PLLC CurrentSince Feb 1, 2021 Accepting new patients
Starling Physicians PLLC CurrentSince Feb 1, 2021 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Feb 1, 2023 Accepting new patients
Orthopedic Associates of Hartford,PC Current Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Feb 1, 2023 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.

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.

Verify at the official NPI Registry.