Peds 2 Pops OT Services

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2551 Issued in NH

Legal business name

PEDS 2 POPS OT SERVICES

Practice address

4 Peabody St
Tilton, NH 03276-5407

Phone

(603) 729-0056

Fax

(603) 729-0069

NPI assigned

Apr 27, 2016

Organization subpart

No

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

Authorized official

Name

Dwayne Oothoudt, OTR/L

Title

Occupational Therapist

Phone

(603) 729-0056

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1760837728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PEABODY ST",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765407",
            "telephone_number": "603-729-0056",
            "fax_number": "603-729-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PEABODY ST",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765407",
            "telephone_number": "603-729-0056",
            "fax_number": "603-729-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDS 2 POPS OT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "OOTHOUDT",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "603-729-0056",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "2551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Tilton, NH
• Providers in Tilton, NH by specialty
• Occupational Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.