Penny Barsch
Individual provider Active NPI Occupational Therapy Assistant · Waterbury, CT
NPI 1497062541 · NPPES record last updated Sep 10, 2010
Key facts
- NPI
- 1497062541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 00189 (CT)
- Practice address
- 22 Tompkins St
Waterbury, CT 06708-1458 - Phone
- (203) 419-0381
- Fax
- (203) 419-0389
- NPI assigned
- Sep 10, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00189 | CT | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 00189 | CT | Yes |
Addresses
Primary practice location
22 Tompkins St
Waterbury, CT 06708-1458
Mailing address
22 Tompkins St
Waterbury, CT 06708-1458
Phone (203) 419-0381
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004190328 | Medicaid | CT |
Other providers in Waterbury, CT
- Amy Barrios
- Digby Robert Barrios
- Angela M Barrows
- Amanda L Barry
- Christine Barry
- David Bartfeld
- George Bittmann Barth II
- Donald David Bartlett
- Isaac Bartley
- Katelyn Bartone
All providers in Waterbury, CT · Occupational Therapy Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.