Active NPI
Angela Marie Barry
- Occupational Therapist
- Newington, CT
National Provider Identifier
1841808326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 006358
- Practice address
- 722 Church St Apt 4
Newington, CT 06111-5512 - Phone
- (860) 810-9846
- NPI assigned
- Jul 21, 2020
- Last updated
- Mar 29, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 006358 | CT | Primary |
| Behavior Technician | 106S00000X | MA |
Addresses
Primary practice location
722 Church St Apt 4
Newington, CT 06111-5512
Mailing address
722 Church St Apt 4
Newington, CT 06111-5512
Phone (860) 810-9846
Other practice location 1
225 Cedar Hill St Ste 200
Marlborough, MA 01752-5900
Phone (877) 418-2978
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 |
|---|---|---|---|
| 006358 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1841808326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 CHURCH ST APT 4",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061115512",
"telephone_number": "860-810-9846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 CHURCH ST APT 4",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061115512",
"telephone_number": "860-810-9846"
}
],
"practiceLocations": [
{
"address_1": "225 Cedar Hill St Ste 200",
"address_purpose": "LOCATION",
"city": "Marlborough",
"state": "MA",
"postal_code": "017525900",
"country_code": "US",
"telephone_number": "877-418-2978",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRY",
"first_name": "ANGELA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-21",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "006358",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.