Active NPI
Pamela Halloran, COTA
- Occupational Therapy Assistant
- North Haven, CT
National Provider Identifier
1982413415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 000832
- Practice address
- 163 Quinnipiac Ave
North Haven, CT 06473-3623 - Phone
- (203) 624-3303
- Fax
- (203) 752-2333
- NPI assigned
- Dec 30, 2024
- 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 Therapy Assistant | 224Z00000X | 000832 | CT | Primary |
Addresses
Primary practice location
163 Quinnipiac Ave
North Haven, CT 06473-3623
Mailing address
28 Bradley Ave
Branford, CT 06405-3802
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 |
|---|---|---|---|
| 000832 | CT | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1982413415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 BRADLEY AVE",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 QUINNIPIAC AVE",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064733623",
"telephone_number": "203-624-3303",
"fax_number": "203-752-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLORAN",
"first_name": "PAMELA",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CT",
"license": "000832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.