Active NPI
Green Light Physical Therapy LLC
- Physical Therapist
- Keene, NH
National Provider Identifier
1003586629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- GREEN LIGHT PHYSICAL THERAPY LLC
- Practice address
- 131 Concord Rd
Keene, NH 03431-2071 - Phone
- (971) 283-8300
- NPI assigned
- Sep 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Allsopp, DPT
- Title
- Physical Therapist/Owner
- Phone
- (603) 852-4682
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
131 Concord Rd
Keene, NH 03431-2071
Mailing address
PO Box 192
Keene, NH 03431-0192
Phone (603) 852-4682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Keene, NH
- NPI 1891137956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651104000000",
"number": "1003586629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 192",
"city": "KEENE",
"state": "NH",
"postal_code": "034310192",
"telephone_number": "603-852-4682",
"fax_number": "603-782-4209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 CONCORD RD",
"city": "KEENE",
"state": "NH",
"postal_code": "034312071",
"telephone_number": "971-283-8300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN LIGHT PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-15",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A",
"authorized_official_last_name": "ALLSOPP",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
"authorized_official_telephone_number": "603-852-4682",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.