Easter Seal Rehabilitation Center

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

EASTER SEAL REHABILITATION CENTER

Practice address

22 Tompkins St
Waterbury, CT 06708-1417

Phone

(203) 574-5141

Fax

(202) 757-1198

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Loraine Shea

Title

President

Phone

(203) 754-5141

Specialties & licenses 2

Addresses

Other identifiers 15

Other names 1

• Easter Seals Waterbury Other name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Easter Seal Rehabilitation Center

  • Clinic/Center
  • Waterbury, CT
  • NPI 1497054316

  7416864178

  Same PAC ID

Tax ID family

Easter Seal Rehab Audio4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Easter Seal Rehabilitation Center

  • Hearing Aid Equipment
  • Waterbury, CT
  • NPI 1093884926
  NPD tax ID
• Easter Seal Rehabilitation Center

  • Clinic/Center
  • Waterbury, CT
  • NPI 1497054316
  NPD tax ID
• Easter Seal Rehabilitation Center of Greater Waterbury, Inc.

  • Early Intervention Provider Agency
  • Waterbury, CT
  • NPI 1134557242
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Access Rehab Centers, LLC

  • Rehabilitation Clinic/Center
  • Waterbury, CT
  • NPI 1033293691

  Member Of

  NPD member

Locations

Practitioners 1

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

• Victoria Anna Zysk, AUD

  • Audiologist
  • Waterbury, CT
  • NPI 1609609460
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1497863658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TOMPKINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081417",
            "telephone_number": "203-574-5141",
            "fax_number": "202-757-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 TOMPKINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081417",
            "telephone_number": "203-574-5141",
            "fax_number": "202-757-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEAL REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "LORAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-754-5141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE-AUDIOLOGY",
            "identifier": "017500",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE-HUSKY",
            "identifier": "185832",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE-AUDIOLOGY",
            "identifier": "246000",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-BIRTH TO THREE",
            "identifier": "68BT03016CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "296184",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-AUDIOLOGY",
            "identifier": "3561698",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "800009105CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OR2189",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-AUDIOLOGY",
            "identifier": "5617574",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "43MDE0003CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004015061",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004039657",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARUSA-AUDIOLOGY",
            "identifier": "04154",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARUSA-AUDIOLOGY",
            "identifier": "04731",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-DME",
            "identifier": "12DME0601CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easter Seals Waterbury",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ear, Nose & Throat Associates of Waterbury, PC
• Ear, Nose and Throat Associates of Waterbury, PC
• Paul Earley
• Easter Seal Rehabilitation Center
• Easter Seal Rehabilitation Center
• Easter Seal Rehabilitation Center of Greater Waterbury, Inc.
• Virginia Jennine Eastman, LPC
• Sarah Ebnoti, AS
• Aisha Echevarria
• Eclipse Medical Transport Inc

• Rehabilitation Clinic/Center in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Rehabilitation Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.