Jennifer Anderson, OTRL
NPI 1760508477ActiveIndividual· Occupational Therapist· Mystic, CT
Occupational Therapist (OTRL) in Mystic, Connecticut, licensed in CT and RI, with an NPI issued in March 2007. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1760508477 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTRL |
| Sole proprietor | No |
| NPI issued | Mar 22, 2007 |
| Last updated in NPPES | Jul 13, 2022 |
| Certified by provider | Jul 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 005123 | CT |
| Occupational Therapy Assistant | 224Z00000X | OTA00338 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (CT) |
|---|
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