EASTER SEAL REHABILITATION CENTER
NPI 1497054316
Clinic/Center in Waterbury, CT
About Easter Seal Rehabilitation Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTER SEAL REHABILITATION CENTER (NPI 1497054316) is a healthcare organization registered as a clinic/center in Waterbury, Connecticut and active in the NPI registry since March 2011. The organization lists Gary Nielsen, Cfo/coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Easter Seal Rehabilitation Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Easter Seal Rehabilitation Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Easter Seal Rehabilitation Center's NPI number?
The NPI number for Easter Seal Rehabilitation Center is 1497054316. It was assigned to this organization in the NPPES registry on March 17, 2011.
Where is Easter Seal Rehabilitation Center located?
Easter Seal Rehabilitation Center is located at 22 Tompkins St, Waterbury, CT 06708. The listed phone number is (203) 754-5141.
What is Easter Seal Rehabilitation Center's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Easter Seal Rehabilitation Center enrolled in Medicare?
Yes. Easter Seal Rehabilitation Center is registered in the Medicare PECOS enrollment system.
When is Easter Seal Rehabilitation Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Easter Seal Rehabilitation Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Qualified Audiologist, reassign their Medicare billing to Easter Seal Rehabilitation Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Easter Seal Rehabilitation Center was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Easter Seal Rehabilitation Center · NPI 1497054316
Clinic/Center organization in Waterbury, Connecticut. Organization record, active in the CMS NPPES registry since March 17, 2011.
## Identity
- **NPI:** 1497054316 (Entity type: Organization)
- **Enumerated:** March 17, 2011
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Gary Nielsen, CFO/COO
## Practice location
- **Address:** 22 TOMPKINS ST, Waterbury, CT 06708-1496
- **Phone:** (203) 754-5141 · **Fax:** (203) 757-1198
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Connecticut, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Qualified Audiologist) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 21, 2023
- **Other identifiers:** Other 12DME0601CT01 (CT); Other 232000; Other 017500 (CT); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1497054316) · Data from the CMS NPPES public registry.