Active NPI
Brittany Duclos
- Pediatric Occupational Therapist
- Nashua, NH
National Provider Identifier
1215522495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 92 Main St
Nashua, NH 03060-2719 - Phone
- (978) 496-9550
- NPI assigned
- Mar 9, 2021
- Last updated
- Jan 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | NU | Primary |
Addresses
Primary practice location
92 Main St
Nashua, NH 03060-2719
Mailing address
20 Industrial Park Dr
Nashua, NH 03062-3178
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 |
|---|---|---|---|
| 3122 | NH | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1215522495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 INDUSTRIAL PARK DR",
"city": "NASHUA",
"state": "NH",
"postal_code": "030623178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 MAIN ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030602719",
"telephone_number": "978-496-9550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCLOS",
"first_name": "BRITTANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-09",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.