Active NPIIndividual provider

Jorge L Tellez, COTA, L

Occupational Therapy Assistant in Waterbury, Connecticut

NPI Number1043564008
Practice location
145 Grove St, Waterbury, CT 06710-2202
Fax
—
Last updated
October 30, 2012

Jorge L Tellez is an Occupational Therapy Assistant based in Waterbury, CT. Jorge L Tellez practices in Waterbury, CT and has the professional credentials of COTA, L. The NPI Number for Jorge L Tellez is 1043564008 and holds a License No. 001138 (CT). The current practice location address for Jorge L Tellez is 145 Grove St, Waterbury, CT 06710-2202 and can be reached out via phone at 203-753-7205.

Provider Profile Details

NPI Number
1043564008
Provider Name
Jorge L Tellez
Credential
COTA, L
Provider Entity Type
Individual
Gender
Male
Address
145 Grove St, Waterbury, CT 06710-2202
Phone Number
203-753-7205
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
October 30, 2012
Last Update Date
October 30, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
145 Grove St
Waterbury, CT 06710-2202
Zip
06710-2202
Phone Number
203-753-7205
Waterbury, CT 06710Get directions →

Provider Business Mailing Address Details

Address
48 Industrial Park Access RD
Middlefield, CT 06455-1263
City
Middlefield
State
CT
Zip
06455-1263
Phone Number
203-859-1182

License Information

License Number
001138
License State
CT
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jorge L Tellez, COTA, L?

The NPI number of Jorge L Tellez, COTA, L is 1043564008. It was assigned on October 30, 2012 and is currently active in the NPPES registry.

What is the specialty of Jorge L Tellez, COTA, L?

Jorge L Tellez, COTA, L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in CT under license number 001138.

Where does Jorge L Tellez, COTA, L practice?

The practice location is 145 Grove St, Waterbury, CT 06710-2202. The office can be reached at 203-753-7205 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043564008 directly on the NPPES registry website.

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