Active NPIIndividual providerSole proprietor

Mrs. Carol G Potter, OTR/L, BCG, CAPS

Occupational Therapist, Gerontology in Madison, Connecticut

NPI Number1952304875
Practice location
21 Candlewood Ln, Madison, CT 06443-1914
Fax
425-977-7193
Last updated
August 13, 2024

Carol Gray Potter is an Occupational Therapist, Gerontology based in Madison, CT. Carol Gray Potter practices in Madison, CT and has the professional credentials of OTR/L, BCG, CAPS. The NPI Number for Carol Gray Potter is 1952304875 and holds a License No. 1963 (WA). The current practice location address for Carol Gray Potter is 21 Candlewood Ln, Madison, CT 06443-1914 and can be reached out via phone at 425-478-6098 and via fax at 425-977-7193.

Provider Profile Details

NPI Number
1952304875
Provider Name
Carol Gray Potter
Credential
OTR/L, BCG, CAPS
Provider Entity Type
Individual
Gender
Female
Address
21 Candlewood Ln, Madison, CT 06443-1914
Phone Number
425-478-6098
Fax Number
425-977-7193
Primary Taxonomy
Occupational Therapist, Gerontology · 225XG0600X
Sole Proprietor
Yes
Provider Enumeration Date
May 24, 2005
Last Update Date
August 13, 2024
Certification Date
August 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Candlewood Ln
Madison, CT 06443-1914
Zip
06443-1914
Phone Number
425-478-6098
Fax Number
425-977-7193
Madison, CT 06443Get directions →

Provider Business Mailing Address Details

Address
21 Candlewood Ln
Madison, CT 06443-1914
City
Madison
State
CT
Zip
06443-1914
Phone Number
425-478-6098
Fax Number
425-977-7193

License Information

License Number (1)
1963
License State (1)
WA
Taxonomy (1)
Occupational Therapist, Gerontology · 225XG0600X
License Number (2)
6281
License State (2)
CT
Taxonomy (2)
Occupational Therapist, Gerontology · 225XG0600X · 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 Mrs. Carol G Potter, OTR/L, BCG, CAPS?

The NPI number of Mrs. Carol G Potter, OTR/L, BCG, CAPS is 1952304875. It was assigned on May 24, 2005 and is currently active in the NPPES registry.

What is the specialty of Mrs. Carol G Potter, OTR/L, BCG, CAPS?

Mrs. Carol G Potter, OTR/L, BCG, CAPS is registered under the primary taxonomy Occupational Therapist, Gerontology (code 225XG0600X), licensed in WA under license number 1963.

Where does Mrs. Carol G Potter, OTR/L, BCG, CAPS practice?

The practice location is 21 Candlewood Ln, Madison, CT 06443-1914. The office can be reached at 425-478-6098 (phone) or 425-977-7193 (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 1952304875 directly on the NPPES registry website.

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