The Vault: Hand Crafted Wellness, LLC

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

Legal business name

THE VAULT: HAND CRAFTED WELLNESS, LLC

Practice address

12 Brick Walk LN
Farmington, CT 06032-2368

Phone

(203) 376-5646

NPI assigned

Sep 24, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Ann Bartiss-Earley, OTD, OT/L, CHTNPI 1396235966

Title

Occupational Therapist/Owner

Phone

(203) 376-5646

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Ann Bartiss-Earley, OT/L, CHT

  • Occupational Therapist
  • Farmington, CT
  • NPI 1396235966

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1801567243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BRICK WALK LN",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322368",
            "telephone_number": "203-376-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BRICK WALK LN",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322368",
            "telephone_number": "203-376-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VAULT: HAND CRAFTED WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "BARTISS-EARLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "203-376-5646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OT/L, CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Farmington, CT
• Hand Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.