Individual provider Active NPI

Andrea Sue Bakhit, MS, OTR/L

  • Occupational Therapist
  • Nashua, NH
National Provider Identifier
1619242740
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1546 Issued in NH
Practice address
80 Lake St
Nashua, NH 03060-4431
Phone
(603) 881-4190
NPI assigned
Mar 22, 2012
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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 1546 NH Primary

Addresses

Primary practice location

80 Lake St
Nashua, NH 03060-4431

Mailing address

2 Austin Cir
Nashua, NH 03063-2008
Phone (603) 475-5855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220303000050 NH Practitioner - Occupational Therapist in Private Practice 9032502745 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1546NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Right Step Therapy LLC Occupational Therapist CurrentSince Nov 4, 2021 Accepting new patients
Robert Marriott Medical Corp Past Accepting new patients
On Site Dermatology LLC Past Accepting new patients

Locations

30 Daniel Webster Hwy
Unit 67
Merrimack, NH 03054
Phone (603) 377-8155

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1619242740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AUSTIN CIR",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030632008",
            "telephone_number": "603-475-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LAKE ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030604431",
            "telephone_number": "603-881-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHIT",
        "first_name": "ANDREA",
        "middle_name": "SUE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "1546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.