SUSAN FAGAN (NPI# 1568781086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568781086 |
| Entity Type | Individual |
| Full Name | SUSAN FAGAN |
| Practice Address |
22 Masonic Ave Wallingford CT 06492-3048 |
| Mailing Address |
22 Masonic Avenue Wallingford CT 06492 |
| Practice Telephone | 2036796247 |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 001077 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699110536 | Susan C. Fagan | Registered Nurse | 1040 Chevelle Dr, Baton Rouge, LA 70806-7805 | 2013-05-06 |
| 1316276033 | Susan Christine Fagan | Pharmacist | Hm 1220 1120 15th Street, University of Georgia College of Pharmacy, Augusta, GA 30912 | 2009-12-08 |
| 1851594899 | Susan Michelle Fagan | Social Worker | 185 Center Street Suite B, Wallingford, CT 06492 | 2007-06-07 |
| 1891858742 | Susan Millie Fagan | Dentist | 5281 Lapeer Road, Kimball, MI 48074 | 2006-12-19 |
| 1922078351 | Susan Fagan | Physical Therapist | 1 Emily Way, West Hartford, CT 06107-3136 | 2006-01-26 |
| 1972963684 | Susan Fagan | Behavioral Analyst | 6 Southside Rd, Danvers, MA 01923-1409 | 2016-02-24 |
| 1043468556 | Susan Marie Fagan | Counselor | 12125 Woodcrest Executive Dr, Suite 110, Saint Louis, MO 63141-5001 | 2008-09-09 |
| Street Address |
22 MASONIC AVE |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689836 | Masonic Healthcare Center | Pharmacy | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2005-06-16 |
| 1841805397 | Nicholas Metaxas | Physical Therapist | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2020-09-11 |
| 1841813102 | Elena Bochicchio | Physical Therapist | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2020-05-21 |
| 1245852151 | Annemieke Ausloos Martino | Physical Therapist | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2020-05-13 |
| 1457992216 | Alison Lorusso | Nurse Practitioner | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2019-10-03 |
| 1467014183 | Debbra Konopaske | Physical Therapy Assistant | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2019-07-02 |
| 1306305776 | Sarnia Scarlett | Occupational Therapy Assistant | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2019-03-15 |
| 1902364888 | Elizabeth Fox | Speech-Language Pathologist | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2019-03-09 |
| 1891253415 | Kathleen Robak | Occupational Therapy Assistant | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2019-03-04 |
| 1558831941 | Jeffrey Raymond Necio | Pharmacist | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2018-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1629426036 | Rebecca Kahn | Occupational Therapist | 251 Cook Hill Rd, Wallingford, CT 06492-3328 | 2016-05-25 |
| 1649510264 | Janice Conway | Occupational Therapist | 18 Templeton Rd, Wallingford, CT 06492-3319 | 2013-02-19 |
| 1063766640 | Teresa King | Occupational Therapist | 1337 Anderson Branch Rd, Wallingford, KY 41093-8429 | 2012-11-03 |
| 1699066522 | Zoltan Paul Varga | Occupational Therapist | 204 Canterbury Dr, Wallingford, PA 19086-6618 | 2011-04-26 |
| 1790935450 | Karen Marie Cahill | Occupational Therapist | 22 Masonicare Avenue, Wallingford, CT 06492 | 2008-09-30 |
| 1417107582 | Melissa Beth Westcott | Occupational Therapist | 266 Cook Hill Rd, Wallingford, CT 06492-3363 | 2008-09-25 |
| 1629258686 | Michele Ann Tarantino | Occupational Therapist | 48 Lake St, Wallingford, CT 06492-2304 | 2007-11-07 |
| 1770691131 | Bonnie Russ Breit | Occupational Therapist | 203 Beaumont Dr, Wallingford, PA 19086-6802 | 2006-08-27 |
| 1922064856 | Roberta Cascone | Occupational Therapist | 329 Main St, Suite 202, Wallingford, CT 06492-2279 | 2006-04-20 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
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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.