Active NPI
Kathleen H. Ahearn, OTA
- Occupational Therapy Assistant
- Wolfeboro, NH
National Provider Identifier
1477907004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0729
- Practice address
- 39 Clipper Dr
Wolfeboro, NH 03894-4222 - Phone
- (603) 569-3950
- NPI assigned
- Apr 20, 2016
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 0729 | NH | Primary |
Addresses
Primary practice location
39 Clipper Dr
Wolfeboro, NH 03894-4222
Mailing address
3 Mountain Rd
Center Tuftonboro, NH 03816-5050
Phone (603) 986-0628
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 |
|---|---|---|---|
| 0729 | NH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461110400000",
"number": "1477907004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MOUNTAIN RD",
"city": "CENTER TUFTONBORO",
"state": "NH",
"postal_code": "038165050",
"telephone_number": "603-986-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 CLIPPER DR",
"city": "WOLFEBORO",
"state": "NH",
"postal_code": "038944222",
"telephone_number": "603-569-3950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHEARN",
"first_name": "KATHLEEN",
"middle_name": "H.",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-20",
"last_updated": "2016-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NH",
"license": "0729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wolfeboro, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.