Active NPI
Kate Cubelli, OT
- Occupational Therapist
- Waterford, CT
National Provider Identifier
1730293382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 001617
- Practice address
- 196 Parkway S
Suite 202
Waterford, CT 06385-1234 - Phone
- (860) 447-0417
- NPI assigned
- Aug 19, 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 | 001617 | CT | Primary |
Addresses
Primary practice location
196 Parkway S
Suite 202
Waterford, CT 06385-1234
Mailing address
8259 Wicker Ave
Saint John, IN 46373-8878
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001617 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1730293382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8259 WICKER AVE",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "463738878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 PARKWAY S",
"address_2": "SUITE 202",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063851234",
"telephone_number": "860-447-0417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUBELLI",
"first_name": "KATE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "001617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, CT
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- Crystal Vision, LLC (Pearle Vision)
- Tiarra Shafer Cupp, BCBA
- Curtin Motor Livery Service, Inc.
- Sue Ellen Daniels, LMFT
- Matthew Leon Danish, MD
- Colleen Davis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.