Individual provider Active NPI

Jill M Vinciguerra, OTR/L

  • Pediatric Occupational Therapist
  • Raymond, NH
National Provider Identifier
1043509169
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
1603 Issued in NH
Practice address
135 Highway 27
The Family Place
Raymond, NH 03077
Phone
(603) 895-1522
NPI assigned
Mar 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 1603 NH Primary

Addresses

Primary practice location

135 Highway 27
The Family Place
Raymond, NH 03077

Mailing address

14 Lane Ave
Greenland, NH 03840-2305
Phone (603) 501-0626

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
1603NHMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1043509169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LANE AVE",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402305",
            "telephone_number": "603-501-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 HIGHWAY 27",
            "address_2": "THE FAMILY PLACE",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "03077",
            "telephone_number": "603-895-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCIGUERRA",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NH",
            "license": "1603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.