Active NPI
Alex Tremblay, OTR/L
- Pediatric Occupational Therapist
- Nashua, NH
National Provider Identifier
1376276501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2400
- Practice address
- 20 Industrial Park Dr
Nashua, NH 03062-3178 - Phone
- (603) 882-4500
- NPI assigned
- Jul 6, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2400 | Primary |
Addresses
Primary practice location
20 Industrial Park Dr
Nashua, NH 03062-3178
Mailing address
20 Industrial Park Dr
Nashua, NH 03062-3178
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2400 | Other | NH | NH OT LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | app.webpt.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1376276501",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREMBLAY",
"first_name": "ALEX",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-06",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": "2400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH OT LICENSE NUMBER",
"identifier": "2400",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "app.webpt.com",
"affiliation": "N",
"address_1": "20 Industrial Park Dr",
"city": "Nashua",
"state": "NH",
"country_code": "US",
"postal_code": "030623178",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.