Active NPI
Keiona Bell, OTR/L
- Occupational Therapist
- New Haven, CT
National Provider Identifier
1740912831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5868
- Practice address
- 118 Clinton Ave
New Haven, CT 06513-3100 - Phone
- (203) 562-7222
- NPI assigned
- Jun 27, 2022
- 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 | 5868 | CT | Primary |
Addresses
Primary practice location
118 Clinton Ave
New Haven, CT 06513-3100
Mailing address
82 Rising Trail Dr
Middletown, CT 06457-1671
Phone (860) 874-5820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5868 | Medicaid | CT |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1740912831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 RISING TRAIL DR",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064571671",
"telephone_number": "860-874-5820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 CLINTON AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065133100",
"telephone_number": "203-562-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "KEIONA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-27",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "5868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5868",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.