Active NPI
Angela Cusano
- Occupational Therapist
- West Hartford, CT
National Provider Identifier
1396419404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 006167
- Practice address
- 1 Abrahms Blvd
West Hartford, CT 06117-1508 - Phone
- (860) 523-3800
- NPI assigned
- Aug 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 006167 | CT | Primary |
Addresses
Primary practice location
1 Abrahms Blvd
West Hartford, CT 06117-1508
Mailing address
22 Cottage Ave
West Hartford, CT 06107-3719
Phone (860) 882-8133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250205001738 | CT | Practitioner - Occupational Therapist in Private Practice | 1254861305 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006167 | CT | MD | Professional Counselor |
| 6167 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1396419404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 COTTAGE AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061073719",
"telephone_number": "860-882-8133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ABRAHMS BLVD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061171508",
"telephone_number": "860-523-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSANO",
"first_name": "ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-03",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "006167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.