Active NPI
Chelsea C. Taylor, OTR/L
- Hand Occupational Therapist
- Trumbull, CT
National Provider Identifier
1770032963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 4564
- Practice address
- 888 White Plains Rd Ste 209
Trumbull, CT 06611-4552 - Phone
- (203) 459-1133
- Fax
- (203) 466-8527
- NPI assigned
- Sep 28, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 004564 | ||
| Hand Occupational Therapist | 225XH1200X | 4564 | CT | Primary |
Addresses
Primary practice location
888 White Plains Rd Ste 209
Trumbull, CT 06611-4552
Mailing address
2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 626-0160
Other names 1
- Chelsea Campo
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 |
|---|---|---|---|
| 4564 | CT | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1770032963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 WHITNEY AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183209",
"telephone_number": "203-626-0160",
"fax_number": "203-294-6734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 WHITE PLAINS RD STE 209",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114552",
"telephone_number": "203-459-1133",
"fax_number": "203-466-8527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "CHELSEA",
"middle_name": "C.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-28",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": "004564",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CT",
"license": "4564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHELSEA",
"last_name": "CAMPO",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.