Active NPI
Robin N Tripp, OTR/L
- Occupational Therapist
- Ellington, CT
National Provider Identifier
1407187305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3490
- Practice address
- 63 Mountain St
Ellington, CT 06029-4138 - Phone
- (860) 803-7052
- NPI assigned
- Jan 18, 2010
- Last updated
- Jan 18, 2010
- 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 | 3490 | CT | Primary |
Addresses
Primary practice location
63 Mountain St
Ellington, CT 06029-4138
Mailing address
63 Mountain St
Ellington, CT 06029-4138
Phone (860) 803-7052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3490 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263772800000",
"number": "1407187305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 MOUNTAIN ST",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060294138",
"telephone_number": "860-803-7052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 MOUNTAIN ST",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060294138",
"telephone_number": "860-803-7052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPP",
"first_name": "ROBIN",
"middle_name": "N",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-18",
"last_updated": "2010-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "3490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellington, CT
- Melissa A Sullivan, RD, CD-N
- Sunshine Psychiatric Services Inc
- Lisa Tedesco, LADC
- The Bullock Company, Inc.
- The Growing Tree Institute LLC
- Urgent Care Medical Center LLC (Priority Urgent Care)
- Chrissie Niza Valentin, APRN, PMHNP-BC
- Jose Alberto Valentin, PHD, LPC, LMHC
- Joann Lois Vallera, D.D.S.
- Brittany Erin Verge, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.