Active NPI
Jillian Fillip, OTR/L
- Occupational Therapist
- Merrimack, NH
National Provider Identifier
1083237267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1583
- Practice address
- 9 Erik St
Merrimack, NH 03054-4572 - Phone
- (603) 305-3919
- NPI assigned
- May 22, 2020
- Last updated
- Aug 31, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 1583 | NH | Primary |
Addresses
Primary practice location
9 Erik St
Merrimack, NH 03054-4572
Mailing address
9 Erik St
Merrimack, NH 03054-4572
Phone (603) 305-3919
Other practice location 1
20 Elm St
Manchester, NH 03101-2702
Phone (603) 624-6312
Other practice location 2
100 Aurore Ave
Manchester, NH 03109-4919
Phone (603) 624-6330
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfillip@mansd.org | Other |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1583 | NH | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1083237267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 ERIK ST",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030544572",
"telephone_number": "603-305-3919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 ERIK ST",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030544572",
"telephone_number": "603-305-3919"
}
],
"practiceLocations": [
{
"address_1": "20 Elm St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031012702",
"country_code": "US",
"telephone_number": "603-624-6312",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Aurore Ave",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031094919",
"country_code": "US",
"telephone_number": "603-624-6330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FILLIP",
"first_name": "JILLIAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-22",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "1583",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfillip@mansd.org",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Merrimack",
"address_1": "9 Erik St",
"city": "Merrimack",
"state": "NH",
"country_code": "US",
"postal_code": "030544572",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Merrimack, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.