Michael Caron, OTR/L

Individual provider Active NPI Occupational Therapist · Dover, NH

NPI 1376728246 · NPPES record last updated Jan 9, 2008

Key facts

NPI
1376728246
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
1646 (NH)
Practice address
195 Dover Point Rd
Dover, NH 03820-9147
Phone
(063) 742-2612
NPI assigned
Jan 9, 2008
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1646NHMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1646 NH Yes

Addresses

Primary practice location

195 Dover Point Rd
Dover, NH 03820-9147

Mailing address

195 Dover Point Rd
Dover, NH 03820-9147

Other identifiers

IdentifierTypeStateIssuer
1646OtherNHOCCUPATIONAL THERAPY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 9, 2008.

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1376728246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 DOVER POINT RD",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038209147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 DOVER POINT RD",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038209147",
            "telephone_number": "063-742-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARON",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "1646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY",
            "identifier": "1646",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

All providers in Dover, NH · Occupational Therapist in New Hampshire

Sources for this page

Verify at the official NPI Registry.