Brenda Hultgren, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

002199 Issued in CT

Practice address

425 Drozdyk Dr
Groton, CT 06340-4248

Phone

(860) 446-2889

NPI assigned

Aug 9, 2011

Last updated

Aug 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehab OT CT LLCGroup PAC ID 1658683123, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehab OT CT, LLC

  • Occupational Therapist
  • Wilton, CT
  • NPI 1912251992
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1447539473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 AIMEE DR",
            "city": "PAWCATUCK",
            "state": "CT",
            "postal_code": "063792429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 DROZDYK DR",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404248",
            "telephone_number": "860-446-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULTGREN",
        "first_name": "BRENDA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "002199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope & Resiliency Counseling LLC
• Alyssa Horton, PHARM.D
• John Anthony Hoyos, DNP, PMHNP-BC
• Lisa Huggard, LCSW
• Heidi Lynn Hughes, LMT
• Romualdo Humarang Jr., IDC
• Olivia Mary Hunt, PHARMD
• Benjamin Dale Hunter II, DDS
• Aric James Hurley, IDC
• Robert P Hurley, M.D.

• Occupational Therapist in Groton, CT
• Providers in Groton, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.