Active NPI
Ryan Allan Kemp, COTA/L
- Occupational Therapy Assistant
- Bedford, NH
National Provider Identifier
1003169970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0644
- Practice address
- 25 Ridgewood Road
Bedford, NH 03110 - Phone
- (603) 623-8805
- NPI assigned
- Oct 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0644 | NH | Primary |
Addresses
Primary practice location
25 Ridgewood Road
Bedford, NH 03110
Mailing address
508 Preble Ave
Madison, ME 04950
Phone (207) 399-2822
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0644 | NH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1003169970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 PREBLE AVE",
"city": "MADISON",
"state": "ME",
"postal_code": "04950",
"telephone_number": "207-399-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 RIDGEWOOD ROAD",
"city": "BEDFORD",
"state": "NH",
"postal_code": "03110",
"telephone_number": "603-623-8805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "RYAN",
"middle_name": "ALLAN",
"name_prefix": "Mr.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-17",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NH",
"license": "0644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.