NPIMap

Organization Active NPI

Crec-Children's Therapy Specialist

Doing business as Children's Therapy Specialist

  • Pediatric Occupational Therapist
  • Windsor, CT
National Provider Identifier
1609283381
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
CREC-CHILDREN'S THERAPY SPECIALIST
Doing business as
Children's Therapy Specialist
Practice address
601 River St
Windsor, CT 06095-1325
Phone
(860) 298-9079
Fax
(860) 683-2398
NPI assigned
Jul 15, 2014
Last updated
Jul 15, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CAPITAL REGION EDUCATION COUNCILAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Joyce Rioux
Title
Assistant Director
Phone
(860) 289-9079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X Primary

Addresses

Primary practice location

601 River St
Windsor, CT 06095-1325

Mailing address

111 Charter Oak Ave
Hartford, CT 06106-1912
Phone (860) 298-9079

Other identifiers 3

IdentifierTypeStateIssuer
0401137OtherCTCIGNA
0401135OtherCTAETNA
790075OtherCTCONNECTICARE

Other names 1

  • Children's Therapy Specialist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crec River Street Autism Program at Coltsville6 organizations share this tax ID, including this one
Part of
Crec River Street Autism Program at Coltsville

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1609283381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHARTER OAK AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061912",
            "telephone_number": "860-298-9079",
            "fax_number": "860-683-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RIVER ST",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951325",
            "telephone_number": "860-298-9079",
            "fax_number": "860-683-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREC-CHILDREN'S THERAPY SPECIALIST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPITAL REGION EDUCATION COUNCIL",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "RIOUX",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "860-289-9079"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0401137",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0401135",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "790075",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Therapy Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.