Individual provider Active NPI

Jeanne Du Rivage, OTR/L

  • Occupational Therapist
  • Plainville, CT
National Provider Identifier
1598907263
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
00351 Issued in DE
Practice address
88 East St
Plainville, CT 06062-2342
Phone
(860) 793-7249
Fax
(860) 793-4468
NPI assigned
Mar 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 00351 DE Primary

Addresses

Primary practice location

88 East St
Plainville, CT 06062-2342

Mailing address

57 Arnoldale Rd
West Hartford, CT 06119-1717
Phone (860) 276-7387

Other identifiers 1

IdentifierTypeStateIssuer
00351OtherCTOCCUPATIONAL THERAPY

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

State licenses

LicenseStateTypeSpecialty
00351DEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeler Clinic Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1598907263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 ARNOLDALE RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191717",
            "telephone_number": "860-276-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622342",
            "telephone_number": "860-793-7249",
            "fax_number": "860-793-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU RIVAGE",
        "first_name": "JEANNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "00351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY",
            "identifier": "00351",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.