Individual provider Active NPI

Beena Thomas, OTR/L

  • Occupational Therapist
  • Trumbull, CT
National Provider Identifier
1487827762
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
001635 Issued in CT
Practice address
84 Autumn Ridge Rd
Trumbull, CT 06611-1256
Phone
(203) 452-0381
NPI assigned
Apr 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 001635 CT Primary

Addresses

Primary practice location

84 Autumn Ridge Rd
Trumbull, CT 06611-1256

Mailing address

84 Autumn Ridge Rd
Trumbull, CT 06611-1256
Phone (203) 452-0381

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130121000035 CT Practitioner - Occupational Therapist in Private Practice 5991958134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
New York University School of Medicine, 1995
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)

655 Main St S
Southbury, CT 06488-4220
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse & Hospice of Fairfield County, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Visiting Nurse & Hospice of Fairfield County, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Fox Rehab OT CT, LLC Occupational Therapist CurrentSince Aug 1, 2023 Accepting new patients

Locations

22 Danbury Rd
Ste 1
Wilton, CT 06897
Phone (203) 762-8958

Organizations & group practices 3

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": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1487827762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 AUTUMN RIDGE RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111256",
            "telephone_number": "203-452-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 AUTUMN RIDGE RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111256",
            "telephone_number": "203-452-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BEENA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "001635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.