Individual provider Active NPI

Mary Patricia Robichaud, OT

  • Occupational Therapist
  • Manchester, NH
National Provider Identifier
1467042812
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3046 Issued in NH
Practice address
20 S Main St
Manchester, NH 03102-4405
Phone
(603) 626-0760
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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 3046 NH Primary

Addresses

Primary practice location

20 S Main St
Manchester, NH 03102-4405

Mailing address

522 Amherst St Ste 22
Nashua, NH 03063-1019
Phone (603) 880-0448

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

LicenseStateTypeSpecialty
3046NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cpte - Manchester, Inc. CurrentSince Jan 24, 2021 Accepting new patients

Locations

20 S Main St
Manchester, NH 03102
Phone (603) 626-0760

522 Amherst St
Ste 22
Nashua, NH 03063
Phone (603) 880-0488

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": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1467042812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 AMHERST ST STE 22",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631019",
            "telephone_number": "603-880-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S MAIN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024405",
            "telephone_number": "603-626-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBICHAUD",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "3046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.