Individual provider Active NPI

Kerry Cottle Roy, OTR/L

  • Occupational Therapist
  • Antrim, NH
National Provider Identifier
1033748215
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2654 Issued in NH
Practice address
10 School St
Antrim, NH 03440-3607
Phone
(603) 588-6371
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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 2654 NH Primary

Addresses

Primary practice location

10 School St
Antrim, NH 03440-3607

Mailing address

106 Hancock Rd
Peterborough, NH 03458-1109
Phone (603) 924-6707

Other identifiers 2

IdentifierTypeStateIssuer
380995OtherNATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
2654OtherNHSTATE OF NH OFFICE OF ALLIED HEALTH PROFESSIONALS

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

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1033748215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HANCOCK RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581109",
            "telephone_number": "603-924-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SCHOOL ST",
            "city": "ANTRIM",
            "state": "NH",
            "postal_code": "034403607",
            "telephone_number": "603-588-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "KERRY",
        "middle_name": "COTTLE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "2654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
            "identifier": "380995",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NH OFFICE OF ALLIED HEALTH PROFESSIONALS",
            "identifier": "2654",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Antrim, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.