Active NPI
Amy Daggett
- Occupational Therapist
- Amesbury, MA
National Provider Identifier
1104418193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 110 Haverhill Rd Ste 101
Amesbury, MA 01913-2139 - Phone
- (855) 390-7774
- Fax
- (855) 734-4666
- NPI assigned
- Feb 10, 2021
- 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 | Primary |
Addresses
Primary practice location
110 Haverhill Rd Ste 101
Amesbury, MA 01913-2139
Mailing address
1 Stiles Rd Ste 203
Salem, NH 03079-4804
Phone (855) 390-7774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13318 | Other | MA | MA STATE OTR/L LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13318 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1104418193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 STILES RD STE 203",
"city": "SALEM",
"state": "NH",
"postal_code": "030794804",
"telephone_number": "855-390-7774",
"fax_number": "855-734-4666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HAVERHILL RD STE 101",
"city": "AMESBURY",
"state": "MA",
"postal_code": "019132139",
"telephone_number": "855-390-7774",
"fax_number": "855-734-4666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGGETT",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-10",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA STATE OTR/L LICENSE",
"identifier": "13318",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amesbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.