Active NPI
Carly Perreault, OTR/L
- Occupational Therapist
- Madison, NH
National Provider Identifier
1275269136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3446
- Practice address
- 2069 Village Rd
Madison, NH 03849-5472 - Phone
- (603) 367-4642
- NPI assigned
- Jul 25, 2022
- 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 | 3446 | NH | Primary |
Addresses
Primary practice location
2069 Village Rd
Madison, NH 03849-5472
Mailing address
881 Tamworth Rd # a
Tamworth, NH 03886-4320
Other practice location 1
53 Technology Ln
Conway, NH 03818-5804
Phone (603) 374-7896
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3446 | NH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1275269136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "881 TAMWORTH RD # A",
"city": "TAMWORTH",
"state": "NH",
"postal_code": "038864320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2069 VILLAGE RD",
"city": "MADISON",
"state": "NH",
"postal_code": "038495472",
"telephone_number": "603-367-4642"
}
],
"practiceLocations": [
{
"address_1": "53 Technology Ln",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "NH",
"postal_code": "038185804",
"country_code": "US",
"telephone_number": "603-374-7896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERREAULT",
"first_name": "CARLY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "3446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.