Individual provider Active NPI

Carrie B. Conway

  • Occupational Therapist
  • Bedford, NH
National Provider Identifier
1407107766
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1445 Issued in NH
Practice address
480 Donald St
Bedford, NH 03110-5945
Phone
(603) 627-4147
Fax
(603) 644-6906
NPI assigned
Sep 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1445 NH Primary
Occupational Therapist 225X00000X 6912 MA

Addresses

Primary practice location

480 Donald St
Bedford, NH 03110-5945

Mailing address

480 Donald St
Bedford, NH 03110-5945
Phone (603) 627-4147

Other names 1

  • Carrie A. Bliss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230221002735 FL Practitioner - Occupational Therapist in Private Practice 8426420415 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1445NHMDClinical Psychologist
6912MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
QRM Plus Florida - OT LLC Occupational Therapist CurrentSince Aug 1, 2023 Accepting new patients
Fox Rehab OT FL LLC Occupational Therapist CurrentSince Jul 1, 2024 Accepting new patients

Locations

3882 Central Sarasota Pkwy
Sarasota, FL 34238
Phone (941) 282-7965

670 Flushing Ave
Ste 307
Brooklyn, NY 11206

5057 Keller Springs Rd
Ste 150
Addison, TX 75001
Phone (800) 420-1036

Organizations & group practices 2

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": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1407107766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 DONALD ST",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105945",
            "telephone_number": "603-627-4147",
            "fax_number": "603-644-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 DONALD ST",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105945",
            "telephone_number": "603-627-4147",
            "fax_number": "603-644-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "CARRIE",
        "middle_name": "B.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "1445",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "6912",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "BLISS",
            "middle_name": "A.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.