John Jason Chapman, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · South Windsor, CT
NPI 1558637751 · NPPES record last updated Apr 2, 2012
Key facts
- NPI
- 1558637751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 001277 (CT)
- Practice address
- 25 Duck CV
South Windsor, CT 06074-3576 - Phone
- (860) 896-1153
- NPI assigned
- Apr 2, 2012
- Sex
- Male
- 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 Therapy Assistant | 224Z00000X | 001277 | CT | Yes |
Addresses
Primary practice location
25 Duck CV
South Windsor, CT 06074-3576
Mailing address
25 Duck CV
South Windsor, CT 06074-3576
Phone (860) 896-1153
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All providers in South Windsor, CT · Occupational Therapy Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2012. 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.