Active NPI
Nicole Greene, MS, OTR/L
- Occupational Therapist
- Nashua, NH
National Provider Identifier
1306351473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2670
- Practice address
- 20 Industrial Park Dr
Nashua, NH 03062-3178 - Phone
- (603) 882-4500
- Fax
- (603) 882-4545
- NPI assigned
- Dec 11, 2017
- Last updated
- Jun 6, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | ||
| Occupational Therapist | 225X00000X | 2670 | NH | Primary |
Addresses
Primary practice location
20 Industrial Park Dr
Nashua, NH 03062-3178
Mailing address
20 Industrial Park Dr
Nashua, NH 03062-3178
Phone (603) 882-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3115562 | Medicaid | NH |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2670 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1306351473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 INDUSTRIAL PARK DR",
"city": "NASHUA",
"state": "NH",
"postal_code": "030623178",
"telephone_number": "603-882-4500",
"fax_number": "603-882-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 INDUSTRIAL PARK DR",
"city": "NASHUA",
"state": "NH",
"postal_code": "030623178",
"telephone_number": "603-882-4500",
"fax_number": "603-882-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "NICOLE",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-11",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "2670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3115562",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.