Catherine Canavan, MS OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

003173 Issued in CT

Practice address

1145 Poquonnock Rd
Groton Regency
Groton, CT 06340-4620

Phone

(860) 446-9960

Fax

(860) 449-0289

NPI assigned

Jun 4, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Idaho State University

  • Audiologist
  • Pocatello, ID
  • NPI 1952474777
  Medicare reassignment
• Idaho State University

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pocatello, ID
  • NPI 1982475091
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780886648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DAY ST",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 POQUONNOCK RD",
            "address_2": "GROTON REGENCY",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404620",
            "telephone_number": "860-446-9960",
            "fax_number": "860-449-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAVAN",
        "first_name": "CATHERINE",
        "credential": "MS OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "003173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle A Bussolotti, MFT
• Xavier Rasheed Butler, SUB-IDC
• Kathy Ann Cafiero, OTA
• Zachary Jay Camechis, IDC
• Erin Marie Campbell
• Shannon Carlos, COTA
• Steven Bruce Carlow, M.D.
• Susan Carpenter, CCC A
• Jazzmine Sue Carrillo
• Damien Carson, LCSW

• Occupational Therapist in Groton, CT
• Providers in Groton, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.