Active NPI
Kathleen A Glynn, OT
- Occupational Therapist
- Branford, CT
National Provider Identifier
1497312847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2848
- Practice address
- 16 Hopson Ave
Branford, CT 06405-3631 - Phone
- (203) 815-5767
- NPI assigned
- May 21, 2019
- Sex
- Female
- 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 | 2848 | NH | Primary |
Addresses
Primary practice location
16 Hopson Ave
Branford, CT 06405-3631
Mailing address
PO Box 993
Branford, CT 06405-0993
Phone (203) 815-5767
Other practice location 1
24 Old Etna Rd
Lebanon, NH 03766-1937
Phone (978) 973-3182
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1497312847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 993",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064050993",
"telephone_number": "203-815-5767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 HOPSON AVE",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053631",
"telephone_number": "203-815-5767"
}
],
"practiceLocations": [
{
"address_1": "24 Old Etna Rd",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037661937",
"country_code": "US",
"telephone_number": "978-973-3182",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLYNN",
"first_name": "KATHLEEN",
"middle_name": "A",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-21",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "2848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.