Keshap Gautam
Occupational Therapy Assistant in Southington, Connecticut
1356760433- Practice location
- 45 Meriden Ave, Southington, CT 06489-3214
- Phone
- 860-453-4170
- Fax
- —
- Last updated
- October 16, 2014
Keshap Gautam is an Occupational Therapy Assistant based in Southington, CT. Keshap Gautam practices in Southington, CT. The NPI Number for Keshap Gautam is 1356760433 and holds a License No. 001413 (CT). The current practice location address for Keshap Gautam is 45 Meriden Ave, Southington, CT 06489-3214 and can be reached out via phone at 860-453-4170.
Provider Profile Details
- NPI Number
- 1356760433
- Provider Name
- Keshap Gautam
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 45 Meriden Ave, Southington, CT 06489-3214
- Phone Number
- 860-453-4170
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 16, 2014
- Last Update Date
- October 16, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 45 Meriden Ave
Southington, CT 06489-3214 - City
- Southington
- State
- Connecticut
- Zip
- 06489-3214
- Phone Number
- 860-453-4170
Provider Business Mailing Address Details
- Address
- 45 Meriden Ave
Southington, CT 06489-3214 - City
- Southington
- State
- CT
- Zip
- 06489-3214
- Phone Number
- 949-371-4733
License Information
- License Number (1)
- 001413
- License State (1)
- CT
- Taxonomy (1)
- Occupational Therapy Assistant · 224Z00000X · Primary
- License Number (2)
- 2638
- License State (2)
- CA
- Taxonomy (2)
- Occupational Therapy Assistant · 224Z00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Occupational Therapy Assistants near Southington, CT
View all Occupational Therapy Assistants in Southington →- Cera SpyrosOccupational Therapy Assistant · NPI 1912505470
- Cheryl A Plourde, COTA/LOccupational Therapy Assistant · NPI 1245460666
- Corrin L Campbell, COTAOccupational Therapy Assistant · NPI 1194846519
- Desiree M Rossitto, COTAOccupational Therapy Assistant · NPI 1396948394
- Lifes Healing Energy, LLCOccupational Therapy Assistant · NPI 1841026051
- Linda Ciotto, OTA/LOccupational Therapy Assistant · NPI 1831935253
Frequently Asked Questions
What is the NPI number of Keshap Gautam?
The NPI number of Keshap Gautam is 1356760433. It was assigned on April 16, 2014 and is currently active in the NPPES registry.
What is the specialty of Keshap Gautam?
Keshap Gautam is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in CT under license number 001413.
Where does Keshap Gautam practice?
The practice location is 45 Meriden Ave, Southington, CT 06489-3214. The office can be reached at 860-453-4170 (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 1356760433 directly on the NPPES registry website.