NPIMap

Individual provider Active NPI

Gregory Kaelin, MOTR/L

  • Occupational Therapist
  • Woodbridge, CT
National Provider Identifier
1659760080
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
004366 Issued in CT
Practice address
15 Research Dr
Unit 1
Woodbridge, CT 06525-2356
Phone
(203) 387-1401
Fax
(203) 376-1415
NPI assigned
Jan 22, 2015
Last updated
Jan 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 004366 CT Primary

Addresses

Primary practice location

15 Research Dr
Unit 1
Woodbridge, CT 06525-2356

Mailing address

15 Research Dr
Unit 1
Woodbridge, CT 06525-2356
Phone (203) 387-1401

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

LicenseStateTypeSpecialty
4366CTMDGeneral Practice Dentistry
004366CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baron Therapy Services, LLC Occupational Therapist Past Accepting new patients
Connectcare PastSince Apr 1, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1659760080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RESEARCH DR",
            "address_2": "UNIT 1",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252356",
            "telephone_number": "203-387-1401",
            "fax_number": "203-376-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RESEARCH DR",
            "address_2": "UNIT 1",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252356",
            "telephone_number": "203-387-1401",
            "fax_number": "203-376-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAELIN",
        "first_name": "GREGORY",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "004366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.