Active NPI
Amanda Rose Hansell
- Pediatric Occupational Therapist
- Manchester, NH
National Provider Identifier
1003127705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2251
- Practice address
- 555 Auburn St
Manchester, NH 03103-4803 - Phone
- (603) 623-8863
- Fax
- (603) 625-1148
- NPI assigned
- Jun 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 11250 | CA | |
| Pediatric Occupational Therapist | 225XP0200X | 2251 | NH | Primary |
Addresses
Primary practice location
555 Auburn St
Manchester, NH 03103-4803
Mailing address
598 Main St
Eliot, ME 03903-2292
Phone (860) 859-7156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2251 | NH | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In-Home Physical Therapy PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Encinitas, CA
- NPI 1588800874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1003127705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "598 MAIN ST",
"city": "ELIOT",
"state": "ME",
"postal_code": "039032292",
"telephone_number": "860-859-7156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 AUBURN ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031034803",
"telephone_number": "603-623-8863",
"fax_number": "603-625-1148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSELL",
"first_name": "AMANDA",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "11250",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NH",
"license": "2251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.