Individual provider Active NPI

Pamela Reid Hixon, OTR/L

  • Occupational Therapist
  • Plymouth, NH
National Provider Identifier
1760710131
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1004 Issued in NH
Practice address
101 Boulder Point Dr Ste 3
Plymouth, NH 03264-3170
Phone
(603) 536-2232
NPI assigned
Nov 24, 2009
Last updated
Nov 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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 1004 NH Primary

Addresses

Primary practice location

101 Boulder Point Dr Ste 3
Plymouth, NH 03264-3170

Mailing address

101 Boulder Point Dr Ste 3
Plymouth, NH 03264-3170
Phone (603) 536-2232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100107000621 NH Practitioner - Occupational Therapist in Private Practice 3971644303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-State Health CenterGroup PAC ID 1951363563, 32 clinicians

Practice addresses (Care Compare)

101 Boulder Point Dr
Suite 3
Plymouth, NH 03264-3170
Phone 60353640001004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1004NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-State Health Center CurrentSince Jan 1, 2022 Accepting new patients
Mid-State Health Center Current Accepting new patients
Mid-State Health Center CurrentSince Jan 1, 2022 Accepting new patients
Mid-State Health Center Occupational Therapist Past Accepting new patients

Locations

101 Boulder Point Dr
Ste 1
Plymouth, NH 03264
Phone (603) 238-3537

101 Boulder Point Dr
Ste 3
Plymouth, NH 03264
Phone (603) 536-2232

Organizations & group practices 4

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": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1760710131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BOULDER POINT DR STE 3",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643170",
            "telephone_number": "603-536-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BOULDER POINT DR STE 3",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643170",
            "telephone_number": "603-536-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIXON",
        "first_name": "PAMELA",
        "middle_name": "REID",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "1004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.