Individual provider Active NPI

Kris Anne Cosgrove, CTR, CAWS, CDP

  • Recreation Therapist
  • Torrington, CT
National Provider Identifier
1558007880
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
Practice address
30 Peck Rd Ste 2102
Torrington, CT 06790-6123
Phone
(860) 201-4474
NPI assigned
May 10, 2022
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CT
Recreation Therapist 225800000X CT Primary

Addresses

Primary practice location

30 Peck Rd Ste 2102
Torrington, CT 06790-6123

Mailing address

30 Peck Rd Ste 2102
Torrington, CT 06790-6123
Phone (860) 201-4474

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)
Enrolled
Credentials
Certified Tumor Registrar

Practice roles

OrganizationSpecialtyStatusNew patients
CT Dementia Help, LLC CurrentSince May 12, 2022 Accepting new patients
CT Dementia Help, LLC CurrentSince May 12, 2022 Accepting new patients

Locations

30 Peck Rd
Ste 2102
Torrington, CT 06790
Phone (860) 201-4474

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1558007880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PECK RD STE 2102",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906123",
            "telephone_number": "860-201-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PECK RD STE 2102",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906123",
            "telephone_number": "860-201-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSGROVE",
        "first_name": "KRIS",
        "middle_name": "ANNE",
        "credential": "CTR, CAWS, CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.