Active NPI
Krista Grey, OTR/L
- Occupational Therapist
- Waterbury, CT
National Provider Identifier
1578052536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 002195
- Practice address
- 3396 E Main St
Waterbury, CT 06705-3812 - Phone
- (203) 756-6215
- NPI assigned
- May 5, 2018
- 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 | 002195 | CT | Primary |
Addresses
Primary practice location
3396 E Main St
Waterbury, CT 06705-3812
Mailing address
920 Wolf Hill Rd
Cheshire, CT 06410-2301
Phone (203) 910-1858
Other names 1
- Krista Moffo
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 |
|---|---|---|---|
| 002195 | CT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525478400000",
"number": "1578052536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 WOLF HILL RD",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102301",
"telephone_number": "203-910-1858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3396 E MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067053812",
"telephone_number": "203-756-6215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREY",
"first_name": "KRISTA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-05",
"last_updated": "2018-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "002195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTA",
"last_name": "MOFFO",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.