Active NPI
Robert Richard, OT
- Occupational Therapist
- North Andover, MA
National Provider Identifier
1396868220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1098
- Practice address
- 140 Prescott St
North Andover, MA 01845-1826 - Phone
- (978) 685-8086
- NPI assigned
- Apr 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1098 | MA | Primary |
Addresses
Primary practice location
140 Prescott St
North Andover, MA 01845-1826
Mailing address
5B Hillside Ave
Newburyport, MA 01950-3914
Phone (978) 462-5816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0315303 | Medicaid | MA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1098 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396868220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5B HILLSIDE AVE",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019503914",
"telephone_number": "978-462-5816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 PRESCOTT ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018451826",
"telephone_number": "978-685-8086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "ROBERT",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "1098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0315303",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.