Active NPI
Catherine Ellen Meriano, JD, MHS, OTR/L
- Occupational Therapist
- Guilford, CT
National Provider Identifier
1669487443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 000690
- Practice address
- 753 Boston Post Rd
Suite 101
Guilford, CT 06437-2749 - Phone
- (203) 458-6268
- Fax
- (203) 458-9230
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 000690 | CT | Primary |
Addresses
Primary practice location
753 Boston Post Rd
Suite 101
Guilford, CT 06437-2749
Mailing address
118B Limewood Ave.
Branford, CT 06405
Phone (203) 481-7051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300000690CT01 | Other | CT | ANTHEM PROVIDER ID |
Other names 1
- Miss Catherine Ellen Bourque
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
753 Boston Post Rd
Suite 101
Guilford, CT 06437-2749
Phone (203) 458-6268
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Juris Doctor
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Concepts LLC | Occupational Therapist | Current | Accepting new patients |
Locations
753 Boston Post Rd
Ste 101
Guilford, CT 06437
Phone (203) 458-6268
75 Main St
Ste 1
Old Saybrook, CT 06475
Phone (860) 388-6268
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": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669487443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118B LIMEWOOD AVE.",
"city": "BRANFORD",
"state": "CT",
"postal_code": "06405",
"telephone_number": "203-481-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "753 BOSTON POST RD",
"address_2": "SUITE 101",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372749",
"telephone_number": "203-458-6268",
"fax_number": "203-458-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERIANO",
"first_name": "CATHERINE",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "JD, MHS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "000690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER ID",
"identifier": "1300000690CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "BOURQUE",
"middle_name": "ELLEN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.