Fun House Pediatric Therapy Services

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

FUN HOUSE PEDIATRIC THERAPY SERVICES

Practice address

138 Main St
Terryville, CT 06786-6249

Phone

(860) 329-2444

NPI assigned

Feb 23, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Yadira Valdes, MOT, OTR/LNPI 1740989268

Title

Owner

Phone

(860) 329-2444

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yadira Valdes, MOT, OTR/L

  • Occupational Therapist
  • Terryville, CT
  • NPI 1740989268
  NPD Authorized official
• Lindsey D'Andrea

  • Occupational Therapy Assistant
  • Terryville, CT
  • NPI 1033079249
  NPD (past)

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1467151985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FRANKIE LN",
            "city": "TERRYVILLE",
            "state": "CT",
            "postal_code": "067867022",
            "telephone_number": "860-329-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 MAIN ST",
            "city": "TERRYVILLE",
            "state": "CT",
            "postal_code": "067866249",
            "telephone_number": "860-329-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUN HOUSE PEDIATRIC THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "YADIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-329-2444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy D'Aquila, CNM
• Julie A Dinice, RN
• Jennifer N. Dolecki
• Family Services of Central CT, Inc.
• Stephen J Fisher, MSW
• Ashley Goad, MSN, APRN, FNP-BC
• Inspiring Visions Counseling Services LLC
• Kiefer Counseling LLC
• Sheri A Knox, APRN
• Gabriella Laferriere, DNP, FNP

• Pediatric Occupational Therapist in Terryville, CT
• Providers in Terryville, CT by specialty
• Pediatric Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.