Active NPI
Mary S Holt, OT
- Occupational Therapist
- Exeter, NH
National Provider Identifier
1245394386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0130
- Practice address
- 1 Hampton Rd
Suite 200
Exeter, NH 03833-4848 - Phone
- (603) 775-7575
- Fax
- (603) 778-9680
- NPI assigned
- Dec 21, 2006
- 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 | 0130 | NH | Primary |
Addresses
Primary practice location
1 Hampton Rd
Suite 200
Exeter, NH 03833-4848
Mailing address
1 Hampton Rd
Suite 200
Exeter, NH 03833-4848
Phone (603) 775-7575
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3101951 | Medicaid | NH | |
| NH4111 | Other | NH | MEDICARE - GROUP |
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 |
|---|---|---|---|
| 0130 | NH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1245394386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HAMPTON RD",
"address_2": "SUITE 200",
"city": "EXETER",
"state": "NH",
"postal_code": "038334848",
"telephone_number": "603-775-7575",
"fax_number": "603-778-9680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HAMPTON RD",
"address_2": "SUITE 200",
"city": "EXETER",
"state": "NH",
"postal_code": "038334848",
"telephone_number": "603-775-7575",
"fax_number": "603-778-9680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "MARY",
"middle_name": "S",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "0130",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3101951",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - GROUP",
"identifier": "NH4111",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Exeter, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.