Active NPI
Lacey Hargbol, MS, OTR/L
- Pediatric Occupational Therapist
- Concord, NH
National Provider Identifier
1861638215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2030
- Practice address
- 2 Industrial Park Dr
BLDG 2 Unit 5
Concord, NH 03301-8520 - Phone
- (603) 223-3330
- Fax
- (603) 437-0431
- NPI assigned
- Jan 6, 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2030 | NH | Primary |
Addresses
Primary practice location
2 Industrial Park Dr
BLDG 2 Unit 5
Concord, NH 03301-8520
Mailing address
2 Industrial Park Dr
BLDG 2 Unit 5
Concord, NH 03301-8520
Phone (603) 223-3330
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2030 | NH | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231200000000",
"number": "1861638215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 INDUSTRIAL PARK DR",
"address_2": "BLDG 2 UNIT 5",
"city": "CONCORD",
"state": "NH",
"postal_code": "033018520",
"telephone_number": "603-223-3330",
"fax_number": "603-437-0431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 INDUSTRIAL PARK DR",
"address_2": "BLDG 2 UNIT 5",
"city": "CONCORD",
"state": "NH",
"postal_code": "033018520",
"telephone_number": "603-223-3330",
"fax_number": "603-437-0431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGBOL",
"first_name": "LACEY",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-06",
"last_updated": "2009-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NH",
"license": "2030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.