Active NPI
Rebecca Carol Moore
- Occupational Therapist
- Bedford, NH
National Provider Identifier
1831323476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0855
- Practice address
- 80 Palomino LN
Ste 401
Bedford, NH 03110-6447 - Phone
- (603) 669-7716
- Fax
- (603) 669-0103
- NPI assigned
- May 12, 2009
- 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 | 0855 | NH | Primary |
Addresses
Primary practice location
80 Palomino LN
Ste 401
Bedford, NH 03110-6447
Mailing address
80 Palomino LN
Suite 401
Bedford, NH 03110-6447
Phone (603) 669-7716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30410122 | Medicaid | NH |
Other names 1
- Rebecca Carol Lavoie
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 |
|---|---|---|---|
| 0855 | NH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1831323476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 PALOMINO LN",
"address_2": "SUITE 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": "MOORE",
"first_name": "REBECCA",
"middle_name": "CAROL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-12",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "0855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30410122",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "LAVOIE",
"middle_name": "CAROL",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}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 May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.