Nicole Campanelli Barbagallo
Individual provider Active NPI Occupational Therapist · Berlin, CT
NPI 1548072689 · NPPES record last updated Jan 24, 2025
Key facts
- NPI
- 1548072689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 3611 (CT)
- Practice address
- 73 Cindy LN
Berlin, CT 06037-3104 - Phone
- (860) 841-8202
- NPI assigned
- Jan 24, 2025
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3611 | CT | Yes |
Addresses
Primary practice location
73 Cindy LN
Berlin, CT 06037-3104
Mailing address
73 Cindy LN
Berlin, CT 06037-3104
Phone (860) 841-8202
Other providers in Berlin, CT
- Abena Asante
- Atb, LLC
- Babak Atighechi
- Valerie Atkins
- Marcus Bacon
- Deanna Barrett
- Matt James Barrett
- Robert Becker
- Belin Board of Education
- Stephanie Bergeron
All providers in Berlin, CT · Occupational Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2025. 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.