Organization Active NPI

Integrative Tot, LLC

Doing business as Alternative Therapy Center for Children

  • Pediatric Occupational Therapist
  • Shelton, CT
National Provider Identifier
1851839914
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
003953 Issued in CT
Legal business name
INTEGRATIVE TOT, LLC
Doing business as
Alternative Therapy Center for Children
Practice address
100 Beard Sawmill Rd
Shelton, CT 06484-6150
Phone
(203) 444-1115
NPI assigned
Feb 8, 2017
Last updated
Feb 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Jolene Burch
Title
Sole Member
Phone
(203) 444-1115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 003953 CT Primary

Addresses

Primary practice location

100 Beard Sawmill Rd
Shelton, CT 06484-6150

Mailing address

548 Naugatuck Ave Ste 1 #2426
Milford, CT 06460-9991

Other names 1

  • Alternative Therapy Center for Children Doing business as

National Provider Directory

National Provider Directory

Locations

548 Naugatuck Ave
Ste 1
Milford, CT 06460

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1851839914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 NAUGATUCK AVE STE 1 #2426",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064609991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BEARD SAWMILL RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846150",
            "telephone_number": "203-444-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE TOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "203-444-1115"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CT",
            "license": "003953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Therapy Center for Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.