Unknown Individual – Pediatric Occupational Therapist, NPI 1124060728

Unknown Individual is a healthcare provider. based in Wethersfield, Connecticut. specializing in Pediatric Occupational Therapist. They hold a License No. 3094 (CT). The NPI Number for Unknown Individual is 1124060728

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124060728
Phone
(860) 721-9999
Address
465 SILAS DEANE HIGHWAY
Deactivation Date
2 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 465, Silas Deane Highway, Wethersfield, Hartford County, Connecticut, 06109, United States

    2ND FLOOR

    WETHERSFIELD, CT 06109

    Phone: (860) 721-9999

    Fax: (860) 721-9903

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06109)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1124060728 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Pediatric Occupational Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Wethersfield, Connecticut in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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