Achieve Rehab LLC – Occupational Therapist

Key facts

NPI: 1962068189
Entity type: Organization (NPI type 2)
Primary specialty: Occupational Therapist 225X00000X
Legal business name: ACHIEVE REHAB LLC
Practice address: 97 Farmington Ave
Waterbury, CT 06710-1737
Phone: (203) 465-6563
NPI assigned: May 13, 2019
Organization subpart: No

Authorized official

Name: Elliot Stroh, OTR/L NPI 1194113811
Title: Director
Phone: (203) 465-6563

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Elliot Stroh, OTR/L Occupational Therapist · Brooklyn, NY · NPI 1194113811

NPD (past) Authorized official OCCUPATIONAL THERAPIST

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	225X00000X			Yes

Addresses

Primary practice location

97 Farmington Ave
Waterbury, CT 06710-1737

Mailing address

97 Farmington Ave
Waterbury, CT 06710-1737
Phone (203) 465-6563

Other names

Achieve Rehab Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 13, 2019.

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1962068189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 FARMINGTON AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101737",
            "telephone_number": "203-465-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 FARMINGTON AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101737",
            "telephone_number": "203-465-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "STROH",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-465-6563",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Achieve Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterbury, CT

All providers in Waterbury, CT · Occupational Therapist in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.