Individual provider Active NPI

Melina Larsen, OT, R/L

  • Occupational Therapist
  • Torrington, CT
National Provider Identifier
1649833476
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5493 Issued in CT
Practice address
61 Commercial Blvd
Torrington, CT 06790-7224
Phone
(860) 673-0145
Fax
(860) 672-1400
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Occupational Therapist 225XM0800X 5493 CT
Pediatric Occupational Therapist 225XP0200X 5493 CT
Student in an Organized Health Care Education/Training Program 390200000X
Occupational Therapist 225X00000X 5493 CT Primary

Addresses

Primary practice location

61 Commercial Blvd
Torrington, CT 06790-7224

Mailing address

61 Commercial Blvd
Torrington, CT 06790-7224
Phone (860) 673-0145

Other practice location 1

46 W Avon Rd Ste 202
Avon, CT 06001-3679
Phone (860) 673-0145

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

LicenseStateTypeSpecialty
5493CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Consulting Services LLC PastSince Apr 20, 2021 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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1649833476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 COMMERCIAL BLVD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067907224",
            "telephone_number": "860-673-0145",
            "fax_number": "860-672-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 COMMERCIAL BLVD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067907224",
            "telephone_number": "860-673-0145",
            "fax_number": "860-672-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 W Avon Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060013679",
            "country_code": "US",
            "telephone_number": "860-673-0145",
            "fax_number": "860-672-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "MELINA",
        "credential": "OT, R/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "CT",
            "license": "5493",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CT",
            "license": "5493",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "5493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.