Organization Active NPI

Fulcrum Therapy, LLC

  • Occupational Therapist
  • Brentwood, NH
National Provider Identifier
1265712988
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1310 Issued in NH
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

Updated by the provider on Aug 25, 2011

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/LNPI 1942522875
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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 1310 NH Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
30418667MedicaidNH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.