Active NPIIndividual provider

Ms. Kelly Vander Mass, MS OTR/L

Occupational Therapist in Wethersfield, Connecticut

NPI Number1740645878
Practice location
465 Silas Deane Hwy, Wethersfield, CT 06109-2134
Fax
—
Last updated
December 16, 2015

Kelly Vander Mass is an Occupational Therapist based in Wethersfield, CT. Kelly Vander Mass practices in Wethersfield, CT and has the professional credentials of MS OTR/L. The NPI Number for Kelly Vander Mass is 1740645878 and holds a License No. 004520 (CT). The current practice location address for Kelly Vander Mass is 465 Silas Deane Hwy, Wethersfield, CT 06109-2134 and can be reached out via phone at 860-721-9999.

Provider Profile Details

NPI Number
1740645878
Provider Name
Kelly Vander Mass
Credential
MS OTR/L
Provider Entity Type
Individual
Gender
Female
Address
465 Silas Deane Hwy, Wethersfield, CT 06109-2134
Phone Number
860-721-9999
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
December 16, 2015
Last Update Date
December 16, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
465 Silas Deane Hwy
Wethersfield, CT 06109-2134
Zip
06109-2134
Phone Number
860-721-9999
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
335 Cabin RD
Colchester, CT 06415-1522
City
Colchester
State
CT
Zip
06415-1522
Phone Number
978-891-6264

License Information

License Number (1)
004520
License State (1)
CT
Taxonomy (1)
Occupational Therapist · 225X00000X · Primary
License Number (2)
11812
License State (2)
MA
Taxonomy (2)
Occupational Therapist · 225X00000X

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 Ms. Kelly Vander Mass, MS OTR/L?

The NPI number of Ms. Kelly Vander Mass, MS OTR/L is 1740645878. It was assigned on December 16, 2015 and is currently active in the NPPES registry.

What is the specialty of Ms. Kelly Vander Mass, MS OTR/L?

Ms. Kelly Vander Mass, MS OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CT under license number 004520.

Where does Ms. Kelly Vander Mass, MS OTR/L practice?

The practice location is 465 Silas Deane Hwy, Wethersfield, CT 06109-2134. The office can be reached at 860-721-9999 (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 1740645878 directly on the NPPES registry website.

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