Individual provider Active NPI

Kelly Sweet, OTRS

  • Occupational Therapist
  • Goffstown, NH
National Provider Identifier
1033568878
Registry record updated Jun 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7736 Issued in NC
Practice address
3 Mountain Ash LN
183
Goffstown, NH 03045-2533
Phone
(910) 922-4552
NPI assigned
Jun 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7736 NC Primary

Addresses

Primary practice location

3 Mountain Ash LN
183
Goffstown, NH 03045-2533

Mailing address

3 Mountain Ash LN
183
Goffstown, NH 03045-2533
Phone (910) 922-4552

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

LicenseStateTypeSpecialty
7736NCMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465603200000",
    "number": "1033568878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOUNTAIN ASH LN",
            "address_2": "183",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030452533",
            "telephone_number": "910-922-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MOUNTAIN ASH LN",
            "address_2": "183",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030452533",
            "telephone_number": "910-922-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEET",
        "first_name": "KELLY",
        "credential": "OTRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-11",
        "last_updated": "2016-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "7736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goffstown, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.