Provider Demographics
NPI:1053540286
Name:ROPIAK, JOHN ADAM (OTR/L)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ADAM
Last Name:ROPIAK
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 S WIG HILL RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06412-1106
Mailing Address - Country:US
Mailing Address - Phone:860-586-5316
Mailing Address - Fax:860-526-2436
Practice Address - Street 1:3 S WIG HILL RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:CT
Practice Address - Zip Code:06412-1106
Practice Address - Country:US
Practice Address - Phone:860-586-5316
Practice Address - Fax:860-526-2436
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1754225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist