Active NPI
Fulcrum Therapy, LLC
- Occupational Therapist
- Brentwood, NH
National Provider Identifier
1265712988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1310
- Legal business name
- FULCRUM THERAPY, LLC
- Practice address
- 73 Middle Rd
Brentwood, NH 03833-6507 - Phone
- (207) 459-4039
- NPI assigned
- Aug 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Christina M T Richardson, OTR/L
- Title
- Founder/Occupational Therapist
- Phone
- (207) 459-4039
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1310 | NH | Primary |
| Occupational Therapist | 225X00000X | OT1266 | ME |
Addresses
Primary practice location
73 Middle Rd
Brentwood, NH 03833-6507
Mailing address
PO Box 317
Berwick, ME 03901-0317
Phone (207) 459-4039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30418667 | Medicaid | NH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Brentwood, NH
- NPI 1942522875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314230400000",
"number": "1265712988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 317",
"city": "BERWICK",
"state": "ME",
"postal_code": "039010317",
"telephone_number": "207-459-4039",
"fax_number": "207-698-4461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 MIDDLE RD",
"city": "BRENTWOOD",
"state": "NH",
"postal_code": "038336507",
"telephone_number": "207-459-4039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULCRUM THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-25",
"last_updated": "2011-08-25",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "M T",
"authorized_official_title_or_position": "FOUNDER/OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "207-459-4039",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NH",
"license": "1310",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT1266",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30418667",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.