Individual provider Active NPI

Kristin Whittaker, OTR/L, CLT

  • Occupational Therapist
  • Rocky Hill, CT
National Provider Identifier
1679952964
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
003248 Issued in CT
Practice address
1111 Cromwell Ave
Building 301
Rocky Hill, CT 06067-3449
Phone
(860) 529-0295
NPI assigned
May 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 003248 CT Primary

Addresses

Primary practice location

1111 Cromwell Ave
Building 301
Rocky Hill, CT 06067-3449

Mailing address

1111 Cromwell Ave
Building 301
Rocky Hill, CT 06067-3449

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180509002319 CT Practitioner - Occupational Therapist in Private Practice 5294099792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Associates of Hartford,PCGroup PAC ID 1850382409, 95 clinicians

Practice addresses (Care Compare)

150 Enterprise Dr
Rocky Hill, CT 06067-3579
Phone (860) 549-8276

31 Seymour St
Suite 100
Hartford, CT 06106-5521
Phone (860) 549-3210

345 Western Blvd
Glastonbury, CT 06033-4380
Phone (860) 549-3210

Merit-based Incentive Payment System (MIPS)

Final score
94.04 of 100Reported as group
Quality
98.06
Promoting interoperability
100
Improvement activities
40
Cost
82.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3248CTMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Hartford,PC CurrentSince Apr 3, 2018 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Apr 3, 2018 Accepting new patients

Locations

31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8208

1111 Cromwell Ave
Ste 301
Rocky Hill, CT 06067
Phone (860) 244-8857

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1679952964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CROMWELL AVE",
            "address_2": "BUILDING 301",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CROMWELL AVE",
            "address_2": "BUILDING 301",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673449",
            "telephone_number": "860-529-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "003248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.