Community Therapeutix Pc is a medicare enrolled "Occupational Therapy Assistant" provider in New London, Connecticut. Their current practice location is
601 Broad St # B, New London, Connecticut. You can reach out to their office (for appointments etc.) via phone at
(860) 848-4180.
Community Therapeutix Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Community Therapeutix Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1245385426.
Healthcare Provider's Profile
| Full Name | Community Therapeutix Pc |
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| Type | Facility |
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| Speciality | Occupational Therapy Assistant |
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| Location | 601 Broad St # B, New London, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245385426
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 02/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 5193771384
- Enrollment ID: O20050330001186
Medical Identifiers
Medical identifiers for Community Therapeutix Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245385426 | NPI | - | NPPES |
| 2V7212 | Other | CT | HEALTHNET GROUP ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 001446 (Connecticut) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 224Z00000X | Occupational Therapy Assistant | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (Connecticut) | Secondary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (Connecticut) | Secondary |
| 235Z00000X | Speech-language Pathologist | 001800 (Connecticut) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Community Therapeutix Pc acts as a billing entity for following providers:
| Provider Name | Kathleen Stelik |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1780788208
PECOS PAC ID: 1355397548
Enrollment ID: I20050331000476 |
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| Provider Name | Todd S Stelik |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1659423598
PECOS PAC ID: 4880641034
Enrollment ID: I20050331000491 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Community Therapeutix Pc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Community Therapeutix Pc
601 Broad St # B,
New London, CT 06320-2544
Ph: (860) 848-4180 | Community Therapeutix Pc
601 Broad St # B,
New London, CT 06320-2544
Ph: (860) 848-4180 |
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