Kelly Patrice Hochstetler, MOT, OTR, CLT

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

003131 Issued in CT

Practice address

22 Old Waterbury Rd., Suite 101
Phys. Med. Ctr. of Southbury
Southbury, CT 06488

Phone

(203) 262-4230

Fax

(203) 262-4239

NPI assigned

Nov 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1891949434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BENNETTS BRIDGE RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821423",
            "telephone_number": "414-659-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD WATERBURY RD., SUITE 101",
            "address_2": "PHYS. MED. CTR. OF SOUTHBURY",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "06488",
            "telephone_number": "203-262-4230",
            "fax_number": "203-262-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCHSTETLER",
        "first_name": "KELLY",
        "middle_name": "PATRICE",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CT",
            "license": "003131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Rehabilitation Occupational Therapist in Southbury, CT
• Providers in Southbury, CT by specialty
• Physical Rehabilitation Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.