Active NPI
Margaret W Chisholm, OT
- Occupational Therapist
- Bedford, NH
National Provider Identifier
1790896454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0745
- Practice address
- 80 Palomino LN
Ste 401
Bedford, NH 03110-6447 - Phone
- (603) 669-7716
- Fax
- (603) 669-0103
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 9, 2007
- 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 | 0745 | NH | Primary |
Addresses
Primary practice location
80 Palomino LN
Ste 401
Bedford, NH 03110-6447
Mailing address
80 Palomino LN
Ste 401
Bedford, NH 03110-6447
Phone (603) 669-7716
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54201 | Other | NH | CIGNA ID |
| 597569 | Other | NH | AETNA ID |
| 30410117 | Medicaid | NH | |
| AA17751 | Other | NH | HARVARD ID |
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 |
|---|---|---|---|
| 0745 | NH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1790896454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 PALOMINO LN",
"address_2": "STE 401",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106447",
"telephone_number": "603-669-7716",
"fax_number": "603-669-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 PALOMINO LN",
"address_2": "STE 401",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106447",
"telephone_number": "603-669-7716",
"fax_number": "603-669-0103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISHOLM",
"first_name": "MARGARET",
"middle_name": "W",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "0745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID",
"identifier": "54201",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID",
"identifier": "597569",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30410117",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD ID",
"identifier": "AA17751",
"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 9, 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.