Active NPI
Carrie Rogers, OT
- Occupational Therapist
- Vernon, CT
National Provider Identifier
1417984907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 002552
- Practice address
- 180 Regan Rd
Vernon, CT 06066 - Phone
- (860) 871-0385
- NPI assigned
- Jun 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7831 | MA | |
| Occupational Therapist | 225X00000X | 002552 | CT | Primary |
Addresses
Primary practice location
180 Regan Rd
Vernon, CT 06066
Mailing address
180 Regan Rd
Vernon, CT 06066-2824
Phone (860) 871-0385
Other practice location 1
200 Kendall St
Accomplish Therapy LLC
Springfield, MA 01104-2532
Phone (413) 241-0112
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 |
|---|---|---|---|
| 002552 | CT | MD | Occupational Therapist |
| 7831 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1417984907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 REGAN RD",
"city": "VERNON",
"state": "CT",
"postal_code": "060662824",
"telephone_number": "860-871-0385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 REGAN RD",
"city": "VERNON",
"state": "CT",
"postal_code": "06066",
"telephone_number": "860-871-0385"
}
],
"practiceLocations": [
{
"address_1": "200 Kendall St",
"address_2": "Accomplish Therapy LLC",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011042532",
"country_code": "US",
"telephone_number": "413-241-0112",
"fax_number": "414-918-2589",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "CARRIE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "7831",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "002552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.