Active NPIIndividual provider

Jan M Soares, OTR/L

Occupational Therapist, Hand in Glastonbury, Connecticut

NPI Number1063409399
Practice location
622 Hebron Ave Ste 205, Glastonbury, CT 06033-2421
Fax
860-652-8411
Last updated
June 10, 2025

Jan M. Soares is an Occupational Therapist, Hand based in Glastonbury, CT. Jan M. Soares practices in Glastonbury, CT and has the professional credentials of OTR/L. The NPI Number for Jan M. Soares is 1063409399 and holds a License No. 002950 (CO). The current practice location address for Jan M. Soares is 622 Hebron Ave Ste 205, Glastonbury, CT 06033-2421 and can be reached out via phone at 860-527-7161 and via fax at 860-652-8411.

Provider Profile Details

NPI Number
1063409399
Provider Name
Jan M. Soares
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
622 Hebron Ave Ste 205, Glastonbury, CT 06033-2421
Phone Number
860-527-7161
Fax Number
860-652-8411
Primary Taxonomy
Occupational Therapist, Hand · 225XH1200X
Sole Proprietor
No
Other Names
-- Jan Phillips, OTR/L (Former Name)
Provider Enumeration Date
October 3, 2005
Last Update Date
June 10, 2025
Certification Date
June 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
622 Hebron Ave Ste 205
Glastonbury, CT 06033-2421
Zip
06033-2421
Phone Number
860-527-7161
Fax Number
860-652-8411
Glastonbury, CT 06033Get directions →

Provider Business Mailing Address Details

Address
622 Hebron Ave Ste 205
Glastonbury, CT 06033-2421
City
Glastonbury
State
CT
Zip
06033-2421
Phone Number
860-527-7161
Fax Number
860-652-8411

License Information

License Number
002950
License State
CO
Taxonomy
Occupational Therapist, Hand · 225XH1200X · 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 Jan M Soares, OTR/L?

The NPI number of Jan M Soares, OTR/L is 1063409399. It was assigned on October 3, 2005 and is currently active in the NPPES registry.

What is the specialty of Jan M Soares, OTR/L?

Jan M Soares, OTR/L is registered under the primary taxonomy Occupational Therapist, Hand (code 225XH1200X), licensed in CO under license number 002950.

Where does Jan M Soares, OTR/L practice?

The practice location is 622 Hebron Ave Ste 205, Glastonbury, CT 06033-2421. The office can be reached at 860-527-7161 (phone) or 860-652-8411 (fax).

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 1063409399 directly on the NPPES registry website.

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