Active NPI
Tobias McDonald, MS, OT/L
- Occupational Therapist
- New Britain, CT
National Provider Identifier
1477906816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003723
- Practice address
- 100 Grand St
New Britain, CT 06052-2016 - Phone
- (860) 224-5121
- NPI assigned
- Jul 21, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 003723 | CT | Primary |
Addresses
Primary practice location
100 Grand St
New Britain, CT 06052-2016
Mailing address
100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5121
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003723 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1477906816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GRAND ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060522016",
"telephone_number": "860-224-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GRAND ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060522016",
"telephone_number": "860-224-5121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "TOBIAS",
"credential": "MS, OT/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-21",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "003723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.