Individual provider Active NPI

Amy Stafford

  • Occupational Therapist
  • Windham, NH
National Provider Identifier
1053527044
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1560 Issued in NH
Practice address
3 Industrial Dr Unit 1
Windham, NH 03087-2014
Phone
(603) 870-0078
NPI assigned
May 15, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 1560 NH Primary

Addresses

Primary practice location

3 Industrial Dr Unit 1
Windham, NH 03087-2014

Mailing address

3 Industrial Dr Unit 1
Windham, NH 03087-2014
Phone (603) 870-0078

Other identifiers 2

IdentifierTypeStateIssuer
13Y004021NH01OtherNHANTHEM
4126960OtherNHMVP HEALTHCARE

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
1560NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
OT Works 4 Kidz, LLC Current Accepting new patients
OT Works 4 Kidz, LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

3 Industrial Dr
Unit 1
Windham, NH 03087
Phone (603) 870-0078

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053527044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 INDUSTRIAL DR UNIT 1",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872014",
            "telephone_number": "603-870-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 INDUSTRIAL DR UNIT 1",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872014",
            "telephone_number": "603-870-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "1560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "13Y004021NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHCARE",
            "identifier": "4126960",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.