Individual provider Active NPI

Larissa Grace Pickett, OTR/L, CHT

  • Occupational Therapist
  • Bedford, NH
National Provider Identifier
1184964546
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1994 Issued in NH
Practice address
40 S River Rd Unit 63
Bedford, NH 03110-6724
Phone
(603) 898-9947
NPI assigned
Feb 21, 2013
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10033 MA
Occupational Therapist 225X00000X 1994 NH Primary

Addresses

Primary practice location

40 S River Rd Unit 63
Bedford, NH 03110-6724

Mailing address

3 Brentwood Ave
Nashua, NH 03063-2820
Phone (603) 809-1761

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehab MA LLC
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehab-NH, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180717003715 NH Practitioner - Occupational Therapist in Private Practice 7719234087 Reassigns benefits to 1 organization
I20240401001133 MA Practitioner - Occupational Therapist in Private Practice 7719234087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehab-NH, LLCGroup PAC ID 2466741293, 24 clinicians

Practice addresses (Care Compare)

Bedford, NH 03110
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1994NHMDClinical Social Worker
10033MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab Ma LLC Occupational Therapist CurrentSince Feb 1, 2025 Accepting new patients
Abs to Hands Sports Medicine and Rehabilitation LLC Hand CurrentSince Aug 6, 2023 Accepting new patients
Sports Medicine North Orthopaedic Surgery, Inc Occupational Therapist CurrentSince Feb 26, 2024 Accepting new patients
Sports Medicine North Orthopaedic Surgery, Inc. Specialist CurrentSince Feb 26, 2024 Accepting new patients
Fox Rehab-NH, LLC Occupational Therapist CurrentSince Oct 1, 2024 Accepting new patients

Locations

1 Orthopedics Dr
Peabody, MA 01960
Phone (781) 595-4562

303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577

15 Constitution Dr
Fl 1
Bedford, NH 03110
Phone (844) 936-4222

15 Constitution Dr
Ste 144
Bedford, NH 03110

40 S River Rd
Unit 63
Bedford, NH 03110
Phone (603) 689-3193

Organizations & group practices 6

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": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1184964546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BRENTWOOD AVE",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030632820",
            "telephone_number": "603-809-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S RIVER RD UNIT 63",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106724",
            "telephone_number": "603-898-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "LARISSA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "10033",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "1994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehab MA LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "391 Common St",
            "city": "Dedham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020264055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehab-NH, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "15 Constitution Dr",
            "address_2": "1st Floor Suite 144",
            "city": "Bedford",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031106042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.