Active NPI
Amy Hathaway, OTR/L
- Occupational Therapist
- Manchester, NH
National Provider Identifier
1578815171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1996
- Practice address
- 214 Tiffany LN
Manchester, NH 03104-4781 - Phone
- (603) 540-8633
- NPI assigned
- Oct 5, 2012
- 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 Therapist | 225X00000X | 1996 | NH | Primary |
Addresses
Primary practice location
214 Tiffany LN
Manchester, NH 03104-4781
Mailing address
214 Tiffany LN
Manchester, NH 03104-4781
Phone (603) 540-8633
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1996 | NH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venus Therapy Services, LLC | Past | 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.
-
- Assisted Living Facility
- Windham, NH
- NPI 1558600478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1578815171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 TIFFANY LN",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031044781",
"telephone_number": "603-540-8633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 TIFFANY LN",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031044781",
"telephone_number": "603-540-8633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATHAWAY",
"first_name": "AMY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-05",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "1996",
"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 Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.