Individual provider Active NPI

Catherine Ellen Meriano, JD, MHS, OTR/L

  • Occupational Therapist
  • Guilford, CT
National Provider Identifier
1669487443
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
000690 Issued in CT
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

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
1300000690CT01OtherCTANTHEM PROVIDER ID

Other names 1

  • Miss Catherine Ellen Bourque Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051031000656 CT Practitioner - Occupational Therapist in Private Practice 4385661115 Reassigns benefits to 1 organization

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
Rehab Concepts LLCGroup PAC ID 9335036185, 8 clinicians

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

OrganizationSpecialtyStatusNew patients
Rehab Concepts LLC Occupational Therapist CurrentSince Sep 1, 2005 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.

Verify at the official NPI Registry.