Organization Active NPI

Potential CT LLC

  • Occupational Therapist
  • Niantic, CT
National Provider Identifier
1619639267
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
POTENTIAL CT LLC
Practice address
3 Rathbun Rd Apt 10
Niantic, CT 06357-1745
Phone
(860) 595-2334
NPI assigned
Oct 12, 2021
Last updated
Oct 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Leah Frascarelli, OTR/L
Title
Owner/Occupational Therapist
Phone
(860) 595-2334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

3 Rathbun Rd Apt 10
Niantic, CT 06357-1745

Mailing address

3 Rathbun Rd Apt 10
Niantic, CT 06357-1745
Phone (860) 595-2334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1619639267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RATHBUN RD APT 10",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571745",
            "telephone_number": "860-595-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RATHBUN RD APT 10",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571745",
            "telephone_number": "860-595-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTENTIAL CT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "FRASCARELLI",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "860-595-2334",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niantic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.