Active NPI
Kristina Anthony, OTRL
- Occupational Therapist
- Bedford, NH
National Provider Identifier
1740373372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1558
- Practice address
- 20 Washington Place
2ND Floor
Bedford, NH 03110-6706 - Phone
- (603) 644-5900
- Fax
- (603) 644-5902
- NPI assigned
- Oct 2, 2006
- 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 | 1558 | NH | Primary |
Addresses
Primary practice location
20 Washington Place
2ND Floor
Bedford, NH 03110-6706
Mailing address
20 Washington Place
2ND Floor
Bedford, NH 03110-6706
Phone (603) 644-5900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30414079 | Medicaid | NH | |
| 13Y004680NH02 | Other | NH | BLUE CROSS BLUE SHIELD |
| AA51080 | Other | NH | HARVARD PILGRIM |
| 8281456 | Other | NH | CIGNA |
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 |
|---|---|---|---|
| 1558 | NH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare, 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.
-
- Specialist
- Bedford, NH
- NPI 1801972575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740373372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WASHINGTON PLACE",
"address_2": "2ND FLOOR",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106706",
"telephone_number": "603-644-5900",
"fax_number": "603-644-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WASHINGTON PLACE",
"address_2": "2ND FLOOR",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106706",
"telephone_number": "603-644-5900",
"fax_number": "603-644-5902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "KRISTINA",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "1558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30414079",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "13Y004680NH02",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA51080",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8281456",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.