Individual provider Active NPI

Michelle Lavertu

  • Occupational Therapist
  • Dover, NH
National Provider Identifier
1982219457
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0729 Issued in NH
Practice address
789 Central Ave
Dover, NH 03820-2526
Phone
(603) 740-2101
NPI assigned
Sep 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 0729 NH
Occupational Therapist 225X00000X 0729 NH Primary

Addresses

Primary practice location

789 Central Ave
Dover, NH 03820-2526

Mailing address

65 Calef Hwy
Lee, NH 03861-6703

Other practice location 1

16 Jenkins Ct
Durham, NH 03824-2335
Phone (603) 868-2600

Other practice location 2

65 Calef Hwy
Lee, NH 03861-6703
Phone (603) 868-8520

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

LicenseStateTypeSpecialty
0729NHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Hospital Past Accepting new patients
Wentworth Douglass Hospital Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1982219457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CALEF HWY",
            "city": "LEE",
            "state": "NH",
            "postal_code": "038616703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-740-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Jenkins Ct",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NH",
            "postal_code": "038242335",
            "country_code": "US",
            "telephone_number": "603-868-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Calef Hwy",
            "address_purpose": "LOCATION",
            "city": "Lee",
            "state": "NH",
            "postal_code": "038616703",
            "country_code": "US",
            "telephone_number": "603-868-8520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVERTU",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NH",
            "license": "0729",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "0729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.