Active NPI
Patricia Crisafulli, COTAL
- Occupational Therapy Assistant
- West Hartford, CT
National Provider Identifier
1841418688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 00086
- Practice address
- 29 Highland St
West Hartford, CT 06119-1324 - Phone
- (860) 236-5623
- Fax
- (860) 233-6318
- NPI assigned
- Apr 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 00086 | CT | Primary |
Addresses
Primary practice location
29 Highland St
West Hartford, CT 06119-1324
Mailing address
75 Damato Dr
Bristol, CT 06010-4484
Phone (860) 582-4500
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00086 | CT | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841418688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 DAMATO DR",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060104484",
"telephone_number": "860-582-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 HIGHLAND ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191324",
"telephone_number": "860-236-5623",
"fax_number": "860-233-6318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISAFULLI",
"first_name": "PATRICIA",
"credential": "COTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CT",
"license": "00086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.