Individual provider Active NPI

Cynthia Dorris Baer, OTR

  • Occupational Therapist
  • Portsmouth, NH
National Provider Identifier
1386761963
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1495 Issued in NH
Practice address
1900 Lafayette Rd
Suite C
Portsmouth, NH 03801-5679
Phone
(603) 431-5600
Fax
(603) 431-5610
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1495 NH Primary

Addresses

Primary practice location

1900 Lafayette Rd
Suite C
Portsmouth, NH 03801-5679

Mailing address

PO Box 442
Chilmark, MA 02535-0442
Phone (978) 979-4500

Other identifiers 2

IdentifierTypeStateIssuer
000039803OtherNHPTAN FOR GROUP PTAN RE776
30414644MedicaidNH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1495NHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shepard Hand Therapy, LLC Occupational Therapist PastSince Aug 23, 2009 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1386761963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 442",
            "city": "CHILMARK",
            "state": "MA",
            "postal_code": "025350442",
            "telephone_number": "978-979-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LAFAYETTE RD",
            "address_2": "SUITE C",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015679",
            "telephone_number": "603-431-5600",
            "fax_number": "603-431-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAER",
        "first_name": "CYNTHIA",
        "middle_name": "DORRIS",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "1495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN FOR GROUP PTAN RE776",
            "identifier": "000039803",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30414644",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.