Outside the Lines, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2020 Issued in NH

Legal business name

OUTSIDE THE LINES, LLC

Practice address

100 Main St
Suite 140
Dover, NH 03820-3882

Phone

(207) 286-6832

Fax

(866) 702-2502

NPI assigned

Aug 12, 2012

Last updated

Aug 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Taylor Ellen Prendergast, OTR/L

Title

Principal Pediatric OT

Phone

(207) 286-6832

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taylor Ellen Prendergast-Moore, OTR/L

  • Pediatric Occupational Therapist
  • Lee, NH
  • NPI 1578821310

  Pediatrics

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344729600000",
    "number": "1609123462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1772",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038211772",
            "telephone_number": "207-286-6832",
            "fax_number": "866-702-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "address_2": "SUITE 140",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203882",
            "telephone_number": "207-286-6832",
            "fax_number": "866-702-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTSIDE THE LINES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-12",
        "last_updated": "2012-08-12",
        "status": "A",
        "authorized_official_last_name": "PRENDERGAST",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRINCIPAL PEDIATRIC OT",
        "authorized_official_telephone_number": "207-286-6832",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NH",
            "license": "2020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic and Reconstructive Surgeons of Southeastern NH
• Sara Renee Ortiz Davitt
• Alexander Ortiz, MD
• Kevin Osgood, MD
• Our House for Girls
• Sarah Pantalone, LMT
• Gino Paoletti
• Donna K Pare, APRN
• Utsav Nayan Parikh, M.D.
• Mary Parker, RDH

• Pediatric Occupational Therapist in Dover, NH
• Providers in Dover, NH by specialty
• Pediatric Occupational Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2012; 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.