Active NPI
Deanna Lindberg
- Pediatric Occupational Therapist
- Stamford, CT
National Provider Identifier
1780134908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 004669
- Practice address
- 78 Harvard Ave
Suite 220
Stamford, CT 06902-5548 - Phone
- (203) 422-2193
- NPI assigned
- Oct 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 004669 | CT | Primary |
Addresses
Primary practice location
78 Harvard Ave
Suite 220
Stamford, CT 06902-5548
Mailing address
78 Harvard Ave
Suite 220
Stamford, CT 06902-5548
Phone (203) 422-2193
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 |
|---|---|---|---|
| 004669 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1780134908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 HARVARD AVE",
"address_2": "SUITE 220",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069025548",
"telephone_number": "203-422-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 HARVARD AVE",
"address_2": "SUITE 220",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069025548",
"telephone_number": "203-422-2193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDBERG",
"first_name": "DEANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-12",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CT",
"license": "004669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.