Active NPI
Nicole Puttick, OTR
- Occupational Therapist
- Norwalk, CT
National Provider Identifier
1619417557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004644
- Practice address
- 5 Richlee Rd
Norwalk, CT 06851-6016 - Phone
- (203) 308-9384
- NPI assigned
- Feb 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 004644 | CT | Primary |
Addresses
Primary practice location
5 Richlee Rd
Norwalk, CT 06851-6016
Mailing address
5 Richlee Rd
Norwalk, CT 06851-6016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004644 | Other | CT | DEPARTMENT OF PUBLIC HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004644 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487980800000",
"number": "1619417557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 RICHLEE RD",
"city": "NORWALK",
"state": "CT",
"postal_code": "068516016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 RICHLEE RD",
"city": "NORWALK",
"state": "CT",
"postal_code": "068516016",
"telephone_number": "203-308-9384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTTICK",
"first_name": "NICOLE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-25",
"last_updated": "2017-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "004644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF PUBLIC HEALTH",
"identifier": "004644",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.