Todd Stephen Stelik, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

002139 Issued in CT

Practice address

601 Broad St # B
New London, CT 06320-2544

Phone

(860) 848-4180

Fax

(860) 574-9393

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Community Therapeutix PC

  • Occupational Therapy Assistant
  • New London, CT
  • NPI 1245385426
  Medicare reassignment

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1659423598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BROAD ST # B",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202544",
            "telephone_number": "860-848-4180",
            "fax_number": "860-574-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROAD ST # B",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202544",
            "telephone_number": "860-848-4180",
            "fax_number": "860-574-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELIK",
        "first_name": "TODD",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "002139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "061533801",
            "identifier": "TRICARE",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "27989-7",
            "identifier": "BCBS RI",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1915336",
            "identifier": "CIGNA",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "061533801",
            "identifier": "UNITED HEALTHCARE",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "130002139CT02",
            "identifier": "ANTHEM BCBS",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda W Speicher, M.D.
• Andrea Spelman, DPT
• Robert M Spitz, M.D.
• Janet Dee Spoltore, PH.D.
• Lori J Standish, M.A., MFT
• Lisa Stemm, A.P.R.N.
• Nicole Stepak, PHARMD
• Amy Stevens, M.D.
• Anna L Stevens, MD
• Mary Stevens, PHARMD

• Occupational Therapist in New London, CT
• Providers in New London, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.