Healthcare Provider Details

I. General information

NPI: 1255984415
Provider Name (Legal Business Name): ARIEL K CERRUTO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2019
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 W MAIN ST
AVON CT
06001-4219
US

IV. Provider business mailing address

314 NEWFIELD RD
TORRINGTON CT
06790-2817
US

V. Phone/Fax

Practice location:
  • Phone: 860-387-7271
  • Fax: 860-703-9803
Mailing address:
  • Phone: 860-387-7271
  • Fax: 860-703-9803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: