Active NPI
Julie E Anderson, OT
- Occupational Therapist
- Rollinsford, NH
National Provider Identifier
1962421628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1503
- Practice address
- 3 Front St Ste 408B
Rollinsford, NH 03869-7001 - Phone
- (603) 860-6075
- NPI assigned
- Jul 19, 2006
- 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 | 1503 | NH | Primary |
Addresses
Primary practice location
3 Front St Ste 408B
Rollinsford, NH 03869-7001
Mailing address
3 Front St Ste 408B
Rollinsford, NH 03869-7001
Phone (603) 860-6075
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432037899 | Other | ME | MAINECARE |
| 30413025 | Medicaid | NH | |
| 101135400 | Other | NH | ACS |
| 2995991 | Other | NH | AETNA |
| P00225000 | Other | NH | MEDICARE RR |
| 378691 | Other | NH | MVP |
| 13Y004075NH01 | Other | NH | ANTHEM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1503 | NH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1962421628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 FRONT ST STE 408B",
"city": "ROLLINSFORD",
"state": "NH",
"postal_code": "038697001",
"telephone_number": "603-860-6075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 FRONT ST STE 408B",
"city": "ROLLINSFORD",
"state": "NH",
"postal_code": "038697001",
"telephone_number": "603-860-6075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JULIE",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "1503",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINECARE",
"identifier": "432037899",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30413025",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS",
"identifier": "101135400",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2995991",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00225000",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "378691",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "13Y004075NH01",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rollinsford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.