Active NPI
Caitlin Bracale, MOT, OTR/L
- Occupational Therapist
- Madison, CT
National Provider Identifier
1932652310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 48.004602
- Practice address
- 145 Durham Rd
Madison, CT 06443-2674 - Phone
- (203) 779-5916
- NPI assigned
- Aug 2, 2016
- Last updated
- Aug 2, 2016
- 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 | 48.004602 | CT | Primary |
Addresses
Primary practice location
145 Durham Rd
Madison, CT 06443-2674
Mailing address
5 Dover Rd
North Haven, CT 06473-1104
Phone (203) 915-5209
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 |
|---|---|---|---|
| 48.004602 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1932652310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 DOVER RD",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064731104",
"telephone_number": "203-915-5209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 DURHAM RD",
"city": "MADISON",
"state": "CT",
"postal_code": "064432674",
"telephone_number": "203-779-5916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACALE",
"first_name": "CAITLIN",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-02",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "48.004602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.