Individual provider Active NPI

Kaye Louise Brunton, OTR

  • Occupational Therapist
  • Enfield, CT
National Provider Identifier
1649936899
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5792 Issued in CT
Practice address
113 Elm St
Enfield, CT 06082-3700
Phone
(860) 253-5196
NPI assigned
Nov 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 13201 MA
Occupational Therapist 225X00000X 5792 CT Primary

Addresses

Primary practice location

113 Elm St
Enfield, CT 06082-3700

Mailing address

113 Elm St
Enfield, CT 06082-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221117001562 CT Practitioner - Occupational Therapist in Private Practice 7214305523 Reassigns benefits to 1 organization
I20240329000893 MA Practitioner - Occupational Therapist in Private Practice 7214305523 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13201MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DG Physical Therapy PC Current Accepting new patients
Ptsma Inc CurrentSince Sep 25, 2022 Accepting new patients
Ptsma, Inc. CurrentSince Sep 25, 2022 Accepting new patients
Ptsma, Inc. Current Accepting new patients
DG Physical Therapy, P.C. CurrentSince Mar 15, 2024 Accepting new patients
DG Physical Therapy, P.C. CurrentSince Mar 15, 2024 Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc Past Accepting new patients
Gulf Breeze Physical Therapy Inc. Past Accepting new patients

Locations

113 Elm St
Ste 201
Enfield, CT 06082
Phone (860) 253-5196

113 Elm St
Enfield, CT 06082
Phone (860) 253-5196

37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919

150 Washington Blvd
Stamford, CT 06902
Phone (475) 268-0030

4 Meeting House Rd
Ste 5
Chelmsford, MA 01824
Phone (978) 970-2460

75 Springfield Rd
Ste 9
Westfield, MA 01085
Phone (413) 642-5853

Organizations & group practices 8

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": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1649936899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ELM ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ELM ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823700",
            "telephone_number": "860-253-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNTON",
        "first_name": "KAYE",
        "middle_name": "LOUISE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "13201",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "5792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.