Individual provider Active NPI

Alescia C Ford-Lanza, MS, OTR/L, ATP

  • Occupational Therapist
  • Avon, CT
National Provider Identifier
1790942530
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
002905 Issued in CT
Practice address
37 Oak Ridge Dr
Avon, CT 06001-2213
Phone
(860) 470-3391
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 002905 CT
Assistive Technology Practitioner Audiologist 231HA2400X 86644 CT
Occupational Therapist 225X00000X 002905 CT Primary

Addresses

Primary practice location

37 Oak Ridge Dr
Avon, CT 06001-2213

Mailing address

PO Box 231
Avon, CT 06001
Phone (860) 470-3391

Other practice location 1

160 Farmington Ave
Farmington, CT 06032-1728
Phone (860) 495-0126

Other names 1

  • Alescia C Baldwin Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
002905CTMDOptometrist
86644CTMDAssistive Technology Practitioner Audiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adapt & Learn, LLC CurrentSince Jul 28, 2019 Accepting new patients

Locations

160 Farmington Ave
Farmington, CT 06032
Phone (860) 470-3391

160 Farmington Ave
Ste 1
Farmington, CT 06032

225 Hopmeadow St
Ste 500
Weatogue, CT 06089
Phone (860) 321-7230

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.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1790942530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-470-3391",
            "fax_number": "203-775-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 OAK RIDGE DR",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012213",
            "telephone_number": "860-470-3391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060321728",
            "country_code": "US",
            "telephone_number": "860-495-0126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD-LANZA",
        "first_name": "ALESCIA",
        "middle_name": "C",
        "credential": "MS, OTR/L, ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CT",
            "license": "002905",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "CT",
            "license": "86644",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "002905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALESCIA",
            "last_name": "BALDWIN",
            "middle_name": "C",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.