Active NPI
John William Watters, COTA
- Occupational Therapy Assistant
- Brookfield, CT
National Provider Identifier
1528972122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2398
- Practice address
- 68 Southfield Ave
Brookfield, CT 06804-1922 - Phone
- (475) 303-4200
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- 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 Therapy Assistant | 224Z00000X | 2398 | CT | Primary |
Addresses
Primary practice location
68 Southfield Ave
Brookfield, CT 06804-1922
Mailing address
2 Meadow Brook Rd
Brookfield, CT 06804-1922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1528972122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MEADOW BROOK RD",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068041922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 SOUTHFIELD AVE",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068041922",
"telephone_number": "475-303-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTERS",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CT",
"license": "2398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.