Active NPI
Chloe Bettencourt, MS, OT
- Occupational Therapist
- Plymouth, NH
National Provider Identifier
1023748209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3300
- Practice address
- 85 Main St Ste 311
Plymouth, NH 03264-1500 - Phone
- (603) 236-6111
- NPI assigned
- Jun 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | 3300 | NH | Primary |
Addresses
Primary practice location
85 Main St Ste 311
Plymouth, NH 03264-1500
Mailing address
63 Allen Farm Rd
Northwood, NH 03261-3521
Phone (603) 560-9339
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3300 | NH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654992000000",
"number": "1023748209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 ALLEN FARM RD",
"city": "NORTHWOOD",
"state": "NH",
"postal_code": "032613521",
"telephone_number": "603-560-9339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 MAIN ST STE 311",
"city": "PLYMOUTH",
"state": "NH",
"postal_code": "032641500",
"telephone_number": "603-236-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTENCOURT",
"first_name": "CHLOE",
"credential": "MS, OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-12",
"last_updated": "2022-06-12",
"certification_date": "2022-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NH",
"license": "3300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.