Individual provider Active NPI

Maria Dynia, OTR

  • Hand Occupational Therapist
  • Woodbridge, CT
National Provider Identifier
1801247119
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
4632 Issued in CT
Practice address
245 Amity Rd
Suite 207
Woodbridge, CT 06525-2258
Phone
(203) 389-8177
Fax
(203) 387-9447
NPI assigned
Jun 28, 2016
Last updated
Jun 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 4632 CT Primary

Addresses

Primary practice location

245 Amity Rd
Suite 207
Woodbridge, CT 06525-2258

Mailing address

138 Church St
Wethersfield, CT 06109-2313
Phone (860) 930-3697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170501001260 CT Practitioner - Occupational Therapist in Private Practice 4486931425

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

51 N Main St
Suite 3G
Southington, CT 06489-2515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4632CTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Therapy Associates, Inc Hand CurrentSince Apr 26, 2017 Accepting new patients
Hand Therapy Associates, Inc Hand CurrentSince Apr 26, 2017 Accepting new patients

Locations

2 Riverview Dr
Danbury, CT 06810
Phone (203) 798-9702

51 N Main St
Ste 3G
Southington, CT 06489
Phone (203) 389-8177

245 Amity Rd
Ste 207
Woodbridge, CT 06525
Phone (203) 389-8177

Organizations & group practices 2

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1801247119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 CHURCH ST",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092313",
            "telephone_number": "860-930-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 AMITY RD",
            "address_2": "SUITE 207",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252258",
            "telephone_number": "203-389-8177",
            "fax_number": "203-387-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYNIA",
        "first_name": "MARIA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CT",
            "license": "4632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.