Active NPI
Karen Ann Logan, OTR
- Occupational Therapist
- Bloomfield, CT
National Provider Identifier
1891883138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 001507
- Practice address
- 35 Jolley Dr
Suite 101
Bloomfield, CT 06002-3062 - Phone
- (860) 243-3434
- Fax
- (860) 243-0208
- NPI assigned
- Oct 11, 2006
- 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 Therapist | 225X00000X | 001507 | CT | Primary |
Addresses
Primary practice location
35 Jolley Dr
Suite 101
Bloomfield, CT 06002-3062
Mailing address
35 Jolley Dr
Suite 101
Bloomfield, CT 06002-3062
Phone (860) 243-3434
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 |
|---|---|---|---|
| 001507 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Medicine & Rehabilitation of Hartford LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BIJGAA
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Bloomfield, CT
- NPI 1346246931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1891883138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 JOLLEY DR",
"address_2": "SUITE 101",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023062",
"telephone_number": "860-243-3434",
"fax_number": "860-243-0208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 JOLLEY DR",
"address_2": "SUITE 101",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023062",
"telephone_number": "860-243-3434",
"fax_number": "860-243-0208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "KAREN",
"middle_name": "ANN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "001507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.