Active NPIIndividual providerSole proprietor

Jacob Booth

Occupational Therapist in Manchester, New Hampshire

NPI Number1326584871
Practice location
3000 Goffs Falls RD, Suite 101, Manchester, NH 03111-1000
Fax
—
Last updated
January 9, 2017

Jacob Booth is an Occupational Therapist based in Manchester, NH. Jacob Booth practices in Manchester, NH. The NPI Number for Jacob Booth is 1326584871 and holds a License No. 16303 (CA). The current practice location address for Jacob Booth is 3000 Goffs Falls RD, Suite 101, Manchester, NH 03111-1000 and can be reached out via phone at 800-995-2673.

Provider Profile Details

NPI Number
1326584871
Provider Name
Jacob Booth
Provider Entity Type
Individual
Gender
Male
Address
3000 Goffs Falls RD, Suite 101, Manchester, NH 03111-1000
Phone Number
800-995-2673
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 9, 2017
Last Update Date
January 9, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
3000 Goffs Falls RD
Suite 101
Manchester, NH 03111-1000
Zip
03111-1000
Phone Number
800-995-2673
Manchester, NH 03111Get directions →

Provider Business Mailing Address Details

Address
3000 Goffs Falls RD
Suite 101
Manchester, NH 03111-1000
City
Manchester
State
NH
Zip
03111-1000
Phone Number
800-995-2673

License Information

License Number (1)
16303
License State (1)
CA
Taxonomy (1)
Occupational Therapist · 225X00000X · Primary
License Number (2)
5698-26
License State (2)
WI
Taxonomy (2)
Occupational Therapist · 225X00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacob Booth?

The NPI number of Jacob Booth is 1326584871. It was assigned on January 9, 2017 and is currently active in the NPPES registry.

What is the specialty of Jacob Booth?

Jacob Booth is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CA under license number 16303.

Where does Jacob Booth practice?

The practice location is 3000 Goffs Falls RD, Suite 101, Manchester, NH 03111-1000. The office can be reached at 800-995-2673 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326584871 directly on the NPPES registry website.

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