Active NPI
Kathy F. Stelik, OTRL
- Occupational Therapist
- Uncasville, CT
National Provider Identifier
1780788208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 000079
- Practice address
- 88 Norwich New London Tpke
Suite 1
Uncasville, CT 06382-2518 - Phone
- (860) 848-9157
- Fax
- (860) 848-3471
- NPI assigned
- Sep 13, 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 | 000079 | CT | Primary |
Addresses
Primary practice location
88 Norwich New London Tpke
Suite 1
Uncasville, CT 06382-2518
Mailing address
88 Norwich New London Tpke
Suite 1
Uncasville, CT 06382-2518
Phone (860) 848-9157
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130000079CT03 | Other | CT | BCBS ID NUMBER |
| 29195-6 | Other | RI | BCBS RI NUMBER |
| 2V7212 | Other | CT | HEALTHNET ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapy Assistant
- New London, CT
- NPI 1245385426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1780788208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 NORWICH NEW LONDON TPKE",
"address_2": "SUITE 1",
"city": "UNCASVILLE",
"state": "CT",
"postal_code": "063822518",
"telephone_number": "860-848-9157",
"fax_number": "860-848-3471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 NORWICH NEW LONDON TPKE",
"address_2": "SUITE 1",
"city": "UNCASVILLE",
"state": "CT",
"postal_code": "063822518",
"telephone_number": "860-848-9157",
"fax_number": "860-848-3471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELIK",
"first_name": "KATHY",
"middle_name": "F.",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "000079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID NUMBER",
"identifier": "130000079CT03",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS RI NUMBER",
"identifier": "29195-6",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET ID NUMBER",
"identifier": "2V7212",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Uncasville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.