NPIMap

Organization Active NPI

Jordan Chausse, LLC

  • Occupational Therapist
  • Lebanon, NH
National Provider Identifier
1295020485
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
647013 Issued in NH
Legal business name
JORDAN CHAUSSE, LLC
Practice address
23 Mahan St
Lebanon, NH 03766-1315
Phone
(603) 443-9639
Fax
(603) 443-9659
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Theresa Rose Chausse, AAC
Title
Practice Owner
Phone
(603) 443-9639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 647013 NH Primary

Addresses

Primary practice location

23 Mahan St
Lebanon, NH 03766-1315

Mailing address

PO Box 334
Lebanon, NH 03766-0334
Phone (603) 443-9639

Other names 1

  • A Community in Motion Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1295020485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037660334",
            "telephone_number": "603-443-9639",
            "fax_number": "603-443-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAHAN ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661315",
            "telephone_number": "603-443-9639",
            "fax_number": "603-443-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN CHAUSSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "CHAUSSE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "603-443-9639",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AAC"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "647013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Community in Motion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.