Active NPI
Susan A Broad, OTR
- Occupational Therapist
- Manchester, NH
National Provider Identifier
1740577808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1463
- Practice address
- 59 Sheffield Rd
Manchester, NH 03103-2314 - Phone
- (603) 622-0909
- Fax
- (603) 622-2869
- NPI assigned
- Jul 8, 2011
- 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 | 1463 | NH | Primary |
Addresses
Primary practice location
59 Sheffield Rd
Manchester, NH 03103-2314
Mailing address
59 Sheffield Rd
Manchester, NH 03103-2314
Phone (603) 622-0909
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthways Family Practice 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.
-
- Family Medicine Physician
- Manchester, NH
- NPI 1073554770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310083200000",
"number": "1740577808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 SHEFFIELD RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031032314",
"telephone_number": "603-622-0909",
"fax_number": "603-622-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 SHEFFIELD RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031032314",
"telephone_number": "603-622-0909",
"fax_number": "603-622-2869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROAD",
"first_name": "SUSAN",
"middle_name": "A",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-08",
"last_updated": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "1463",
"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 Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.