Individual provider Active NPI

Idalina Maria Chutkowski, OTR/L

  • Hand Occupational Therapist
  • West Hatfield, MA
National Provider Identifier
1821220864
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
8136 Issued in MA
Practice address
4 West St
West Hatfield, MA 01088-9515
Phone
(413) 570-1177
Fax
(413) 570-1180
NPI assigned
Aug 9, 2009
Last updated
Feb 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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 8136 MA Primary

Addresses

Primary practice location

4 West St
West Hatfield, MA 01088-9515

Mailing address

4 West St
West Hatfield, MA 01088-9515
Phone (413) 570-1177

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

NPI Registry JSON

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

{
    "created_epoch": "1249776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1821220864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WEST ST",
            "city": "WEST HATFIELD",
            "state": "MA",
            "postal_code": "010889515",
            "telephone_number": "413-570-1177",
            "fax_number": "413-570-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WEST ST",
            "city": "WEST HATFIELD",
            "state": "MA",
            "postal_code": "010889515",
            "telephone_number": "413-570-1177",
            "fax_number": "413-570-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUTKOWSKI",
        "first_name": "IDALINA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-09",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MA",
            "license": "8136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hatfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.