JAN M. SOARES (NPI# 1063409399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063409399 |
| Entity Type | Individual |
| Full Name | JAN M. SOARES |
| Other Name | JAN PHILLIPS |
| Credential | OTR/L |
| Practice Address |
195 Eastern Blvd Suite 200 Glastonbury CT 06033-1208 |
| Practice Telephone | 8605277161 |
| Practice Fax Number | 8606528411 |
| Mailing Telephone | 8605277161 |
| Mailing Fax Number | 8606528411 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2016-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
002950 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
195 EASTERN BLVD SUITE 200 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601530 | Carl W Nissen | Orthopaedic Surgery | 195 Eastern Blvd, Glastonbury, CT 06033-4312 | 2005-06-28 |
| 1710402656 | Peter Dasilva | Occupational Therapist | 195 Eastern Blvd, Glastonbury, CT 06033-4312 | 2017-08-11 |
| 1245521442 | Steven Vander Naalt | Surgery | 195 Eastern Blvd, Suite 200, Glastonbury, CT 06033-1208 | 2011-04-22 |
| 1619295045 | Hugh E Finch Jr. | Dentist | 195 Eastern Blvd, Suite 202, Glastonbury, CT 06033-1208 | 2010-05-10 |
| 1669701157 | Glastonbury Surgery Center | Clinic/Center | 195 Eastern Blvd, Glastonbury, CT 06033-1208 | 2009-12-14 |
| 1275714123 | Hartford Orthopaedic Plastic & Hand Surgeons, Inc | Durable Medical Equipment & Medical Supplies | 195 Eastern Blvd, Suite 200, Glastonbury, CT 06033-1208 | 2007-11-20 |
| 1417147406 | John Vischio | Internal Medicine | 195 Eastern Blvd, Suite 201, Glastonbury, CT 06033-1208 | 2007-07-26 |
| 1295889970 | Hartford Orthopaedic Plastic & Hand Surgeons, Inc. | Durable Medical Equipment & Medical Supplies | 195 Eastern Blvd, Suite 200, Glastonbury, CT 06033-1208 | 2007-01-22 |
| 1548360126 | Roxanne Dunwoody | Physical Therapist | 195 Eastern Blvd, Suite 200, Glastonbury, CT 06033-1208 | 2006-09-24 |
| 1053410712 | Ralph Peter Stocker | Internal Medicine | 195 Eastern Blvd, # 201, Glastonbury, CT 06033-1208 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304575 | Joshua Kevin Mcauliffe | Occupational Therapist | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | 2018-07-30 |
| 1457405086 | Hartford Orthopaedic Plastic & Hand Surgeons, Inc. | Occupational Therapist | 131 New London Tpke, Suite 319, Glastonbury, CT 06033-2246 | 2007-01-22 |
| 1578660155 | Pamela Wilson | Occupational Therapist | 195 Eastern Blvd, Suite 200, Glastonbury, CT 06033-1208 | 2006-09-17 |
| 1952408544 | Christine Pereira | Occupational Therapist | 195 Eastern Blvd, Suite 200, Glastonbury, CT 06033-1208 | 2006-09-17 |
| 1396842977 | Deborah Pankonin | Occupational Therapist | 195 Eastern Blvd, Suite 200, Glastonbury, CT 06033-1208 | 2006-09-17 |
| 1346345410 | Lois Carlson | Occupational Therapist | 195 Eastern Blvd, Suite 200, Glastonbury, CT 06033-1208 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1588085591 | Linda C. Grenus | Occupational Therapist | 48 Wellington Rd, Milford, CT 06461-1641 | 2013-12-17 |
| 1114979226 | Carlson Therapy Network, PC | Occupational Therapist | 130b Grove St, Administration, New Milford, CT 06776-3668 | 2006-05-17 |
| 1518922376 | Lynn Marie Panico | Occupational Therapist | 61 Amity Rd, New Haven, CT 06515-1401 | 2006-04-17 |
| 1689641805 | Rheumatology & Hand Rehabilitaion Center | Occupational Therapist | 3018 Dixwell Ave, 3rd Floor, Hamden, CT 06518-3508 | 2006-03-07 |
| 1790772077 | Donna W Pepe | Occupational Therapist | 1320 West Main St, Noss, Waterbury, CT 06708-3119 | 2005-10-03 |
| 1255333852 | Jerilyn A Nolan | Occupational Therapist | 33 Hospital Ave, Danbury, CT 06810-6007 | 2005-08-12 |
| 1881216554 | Laurie Lemasurier Plaut | Occupational Therapist | 235 Main St, Danbury, CT 06810-6673 | 2020-05-15 |
| 1245860170 | Kristin Ladd Kolack | Occupational Therapist | 113 Elm St Ste 201, Enfield, CT 06082-3739 | 2020-01-20 |
| 1255984415 | Ariel K Cerruto | Occupational Therapist | 245 Alvord Park Rd, Torrington, CT 06790-3493 | 2019-07-17 |
| Find all providers with the same taxonomy | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.