Active NPI
Eileen Lucas-Brooks, OT
- Occupational Therapist
- Newington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 001726
- Practice address
- 181 Patricia Genova Drive
Eastern Rehabilitation Network (5TH Floor)
Newington, CT 06111 - Phone
- (860) 667-5480
- Fax
- (860) 667-8416
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 001726 | CT | Primary |
Addresses
Primary practice location
181 Patricia Genova Drive
Eastern Rehabilitation Network (5TH Floor)
Newington, CT 06111
Mailing address
181 Patricia Genova Drive
Eastern Rehabilitation Network (5TH Floor)
Newington, CT 06111
Phone (860) 667-5480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001726 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ptsma, Inc. | Current | Accepting new patients | |
| Ptsma, Inc. | Current | Accepting new patients | |
| Ptsma Inc | Current | Accepting new patients | |
| Eastern Rehabilitation Network Headache Clinic | Occupational Therapist | Past | Accepting new patients |
Locations
131 Kent Rd
New Milford, CT 06776
Phone (860) 350-3330
37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- East Hartford, CT
- NPI 1205042793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912081183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 PATRICIA GENOVA DRIVE",
"address_2": "EASTERN REHABILITATION NETWORK (5TH FLOOR)",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "06111",
"telephone_number": "860-667-5480",
"fax_number": "860-667-8416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 PATRICIA GENOVA DRIVE",
"address_2": "EASTERN REHABILITATION NETWORK (5TH FLOOR)",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "06111",
"telephone_number": "860-667-5480",
"fax_number": "860-667-8416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS-BROOKS",
"first_name": "EILEEN",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "001726",
"primary": true
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.