MRS. LARISSA GRACE PICKETT


Address: 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079
Phone: 6038989947

MRS. LARISSA GRACE PICKETT (NPI# 1184964546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184964546
Entity Type Individual
Full Name MRS. LARISSA GRACE PICKETT
Credential OTR/L, CHT
Practice Address 195 North Broadway
Salem Sports and Rehab
Salem
NH 03079
Practice Telephone 6038989947
Mailing Telephone 6038989947
Enumeration Date 2013-02-21
Last Update Date 2017-03-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 10033 MA Other Service Providers

Office Location

Street Address 195 NORTH BROADWAY
SALEM SPORTS AND REHAB
City SALEM
State NH
Zip Code 03079

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689156945 Susan Lou Harris Social Worker 56 Zion Hill Rd, Salem, NH 03079 2018-09-04
1861970972 Norrine Mcnelley Nurse Practitioner 25 Beechwood Rd, Salem, NH 03079 2018-07-31
1275024135 Rhode Island Optometrics, LLC Optometrist 42 Samoset Dr, Salem, NH 03079 2018-05-25
1003338666 Rachel Blazich Specialist/Technologist 25 General Pulaski Drive, Salem, NH 03079 2017-07-14
1902327935 Brenda Michelle Karibian Nurse Practitioner 9 Gardner Ave, Salem, NH 03079 2017-06-29
1730559154 Jessica Meredith Cooper Naturopath 23 Stiles Rd Ste 210, Salem, NH 03079 2015-09-28
1659754257 Shuja U Saleem, M.d. Obstetrics & Gynecology 23 Stiles Rd., #217, Salem, NH 03079 2015-07-01
1457739724 Marisa O'brien Registered Nurse 2 Keewayin Drive, Salem, NH 03079 2015-05-07
1215360805 Jeffrey Malone Counselor 103 Cluff Crossing, P-3, Salem, NH 03079 2013-08-19
1720353360 Concord Naturopathic Clinic Naturopath 23 Stiles Road, Ste 210, Salem, NH 03079 2012-03-15
Find all providers in zip 03079

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265970495 Deanna Lauren Carter Specialist 9 Muse Ter, Salem, NH 03079-2921 2017-02-08
1043763980 Michael Tre Cline Jr. Specialist 1505 Whitaker Dr Se, #201, Salem, OR 97317-5912 2016-07-27
1508213604 Amy Masters Specialist 23190 Zieber Ln Nw, Salem, OR 97304-9631 2016-05-18
1417326398 Lisa K Breslin Specialist 27 Congress St Ste 203, Salem, MA 01970-5576 2015-09-21
1588048656 Carl Bettencourt Specialist 67 Wharf St, Salem, MA 01970-5116 2015-07-17
1689066250 Maxine Trujillo Specialist 191 Mcnary Ave Nw, Salem, OR 97304-4037 2015-02-19
1619379633 Wanda Getz Specialist 4275 Commercial St Se, Salem, OR 97302-4086 2014-09-22
1255753174 Janette Toll Specialist 1898 Court St Ne, Salem, OR 97301-4328 2014-01-12
1912333741 Melanie A Ground Specialist 1967 Brightwood Ct S, Salem, OR 97302-2405 2013-09-25
1245662410 Kenneth M. Wilson, M.d., P.C. Specialist 700 Bellevue St Se Ste 260, Salem, OR 97301-3888 2013-07-30
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 03079

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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