Christian Alvarez, OT

Individual provider Active NPI Occupational Therapist · Stamford, CT

NPI 1669833513 · NPPES record last updated Mar 18, 2016

Key facts

NPI
1669833513
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
4127 (CT)
Practice address
15 First St Unit 1
Stamford, CT 06905
Phone
(203) 583-9854
NPI assigned
Mar 18, 2016
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4127CTMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connectcare Past
since Dec 21, 2015
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4127 CT Yes

Addresses

Primary practice location

15 First St Unit 1
Stamford, CT 06905

Mailing address

15 First St Unit 1
Stamford, CT 06905
Phone (203) 583-9854

Other providers in Stamford, CT

All providers in Stamford, CT · Occupational Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.