Individual provider Active NPI

Lauren Ashley Pelster, OTR

  • Occupational Therapist
  • Cromwell, CT
National Provider Identifier
1427628627
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
225X00000X Issued in CT
Practice address
110 Court St Ste 3
Cromwell, CT 06416-1273
Phone
(860) 613-9930
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT61171548 WA
Occupational Therapist 225X00000X 225X00000X CT Primary

Addresses

Primary practice location

110 Court St Ste 3
Cromwell, CT 06416-1273

Mailing address

12115 19TH Ave SE Apt K104
Everett, WA 98208-6280
Phone (402) 315-0061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220608003143 WA Practitioner - Occupational Therapist in Private Practice 6709264492 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
225X00000XCTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Education Assessment Consultation Services CurrentSince Aug 17, 2025 Accepting new patients
Integrated Rehabilitation Group, PC Occupational Therapist CurrentSince May 23, 2020 Accepting new patients
Integrated Rehabilitation Group, PC Current Accepting new patients
Integrated Rehabilitation Group, PC Occupational Therapist CurrentSince May 23, 2020 Accepting new patients

Locations

110 Court St
Ste 3
Cromwell, CT 06416
Phone (860) 281-6271

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

16030 Bothell Hwy
Ste 140
Mill Creek, WA 98012
Phone (425) 338-9005

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

Organizations & group practices 4

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1427628627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 19TH AVE SE APT K104",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086280",
            "telephone_number": "402-315-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COURT ST STE 3",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161273",
            "telephone_number": "860-613-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELSTER",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT61171548",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "225X00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.