Derry Sports & Rehab LLC
A Medicare group practice based in Salem, NH: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1052666807), with 10 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1052666807
- Also listed as
- Derry Sports and Rehab LLC
- Provider type
- Part B Supplier - Physical/Occupational Therapy Group in Private Practice
- Enrolled in
- NH
- Enrollments
- 1
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20180619001012 | NH | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1487670386 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Derry Sports & Rehab, LLC
- Physical Therapist
- Derry, NH
- NPI 1487670386
-
Derry Sports & Rehab LLC
- Physical Therapist
- Salem, NH
- NPI 1023212198
-
Derry Sports & Rehab, LLC
- Physical Therapist
- East Hampstead, NH
- NPI 1932135563
Practice locations
- Derry, NH1
- East Hampstead, NH1
- Salem, NH1
Clinicians 10
Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (6).
-
Robert E Armata, PT
- Physical Therapist
- Salem, NH
- NPI 1588845861
-
Madeline Bissaillon
- Physical Therapist
- East Hampstead, NH
- NPI 1194190348
-
Shad Hansen
- Physical Therapist
- Nashua, NH
- NPI 1720472483
-
Thomas J. Karanasios, PT
- Physical Therapist
- Derry, NH
- NPI 1467409177
-
Michael Madore
- Physical Therapist
- North Andover, MA
- NPI 1497324594
-
Zachary J Mercier, DPT
- Physical Therapist
- Waltham, MA
- NPI 1578080321
-
Jahnavi Prajapati
- Physical Therapist
- Salem, NH
- NPI 1831046085
-
Jonathan Paul Taylor Jr., DPT
- Physical Therapist
- Salem, NH
- NPI 1083489520
-
Rebecca M Underwood, P.T.
- Physical Therapist
- Colebrook, NH
- NPI 1134178775
-
Jillian Therese Witwicki
- Physical Therapist
- Derry, NH
- NPI 1780302273
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.