Active NPIIndividual provider

Brenee D Stanavage, MOT, OTR/L

Occupational Therapist in Vernon, Connecticut

NPI Number1134879539
Practice location
31 Union St, Vernon, CT 06066-3126
Fax
860-872-5298
Last updated
March 28, 2022

Brenee Denise Stanavage is an Occupational Therapist based in Vernon, CT. Brenee Denise Stanavage practices in Vernon, CT and has the professional credentials of MOT, OTR/L. The NPI Number for Brenee Denise Stanavage is 1134879539 and holds a License No. 5474 (CT). The current practice location address for Brenee Denise Stanavage is 31 Union St, Vernon, CT 06066-3126 and can be reached out via phone at 860-872-0501 and via fax at 860-872-5298.

Provider Profile Details

NPI Number
1134879539
Provider Name
Brenee Denise Stanavage
Credential
MOT, OTR/L
Provider Entity Type
Individual
Gender
Female
Address
31 Union St, Vernon, CT 06066-3126
Phone Number
860-872-0501
Fax Number
860-872-5298
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
March 28, 2022
Last Update Date
March 28, 2022
Certification Date
March 27, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Union St
Vernon, CT 06066-3126
City
Vernon
Zip
06066-3126
Phone Number
860-872-0501
Fax Number
860-872-5298
Vernon, CT 06066Get directions →

Provider Business Mailing Address Details

Address
31 Union St
Vernon, CT 06066-3126
City
Vernon
State
CT
Zip
06066-3126
Phone Number
860-872-0501
Fax Number
860-872-5298

License Information

License Number
5474
License State
CT
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

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

Other Occupational Therapists near Vernon, CT

View all Occupational Therapists in Vernon →

Frequently Asked Questions

What is the NPI number of Brenee D Stanavage, MOT, OTR/L?

The NPI number of Brenee D Stanavage, MOT, OTR/L is 1134879539. It was assigned on March 28, 2022 and is currently active in the NPPES registry.

What is the specialty of Brenee D Stanavage, MOT, OTR/L?

Brenee D Stanavage, MOT, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CT under license number 5474.

Where does Brenee D Stanavage, MOT, OTR/L practice?

The practice location is 31 Union St, Vernon, CT 06066-3126. The office can be reached at 860-872-0501 (phone) or 860-872-5298 (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 1134879539 directly on the NPPES registry website.

Browse related providers