Susan Ellen Carey, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

003635 Issued in CT

Practice address

49 W Main St
Avon, CT 06001-3717

Phone

(860) 284-9779

Fax

(860) 409-2190

NPI assigned

Oct 31, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Susan Ellen Weiss Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creative Development, LLC

  • Specialist
  • Avon, CT
  • NPI 1295928075
  NPD (past)

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

{
    "created_epoch": "1446249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446249600000",
    "number": "1841663788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060010421",
            "telephone_number": "860-284-9779",
            "fax_number": "860-409-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 W MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013717",
            "telephone_number": "860-284-9779",
            "fax_number": "860-409-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "SUSAN",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-31",
        "last_updated": "2015-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "003635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WEISS",
            "middle_name": "ELLEN",
            "prefix": "MS.",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Capolupo, FNP-C
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• Mariana Carcia
• Care Comfort LLC
• Carol L. Watson, MD, LLC
• Alexis Cascone, MS, RD, CD-N
• Michael M Cebrik, MD
• Center for Cognitive Therapy
• Ariel K Cerruto

• Occupational Therapist in Avon, CT
• Providers in Avon, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2015; 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.