Active NPI
Peta Burke
- Occupational Therapist
- Newington, CT
National Provider Identifier
1558689307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2682
- Practice address
- 181 Patricia M Genova Dr
Newington, CT 06111-1500 - Phone
- (860) 696-2534
- Fax
- (860) 696-2525
- NPI assigned
- May 4, 2010
- Last updated
- May 4, 2010
- Sex
- Female
- 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 Therapist | 225X00000X | 2682 | CT | Primary |
Addresses
Primary practice location
181 Patricia M Genova Dr
Newington, CT 06111-1500
Mailing address
181 Patricia M Genova Dr
Newington, CT 06111-1500
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2682 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272931200000",
"number": "1558689307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 PATRICIA M GENOVA DR",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061111500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 PATRICIA M GENOVA DR",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061111500",
"telephone_number": "860-696-2534",
"fax_number": "860-696-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "PETA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-04",
"last_updated": "2010-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "2682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.