Organization Active NPI

New Boston Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • New Boston, NH
National Provider Identifier
1013134048
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1302 Issued in NH
Legal business name
NEW BOSTON PHYSICAL THERAPY, LLC
Practice address
16 Meetinghouse Hill Rd
New Boston, NH 03070-3808
Phone
(603) 487-3933
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Anthony J Eberhardt, PTNPI 1841320819
Title
Owner
Phone
(603) 487-3933

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1302 NH Primary

Addresses

Primary practice location

16 Meetinghouse Hill Rd
New Boston, NH 03070-3808

Mailing address

PO Box 633
New Boston, NH 03070-0633
Phone (603) 487-3933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050906000871 NH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608808118 Receives reassigned benefits from 1 practitioner
Practice locations: New Boston, NH

National Provider Directory

National Provider Directory

Locations

3 Central Sq
New Boston, NH 03070
Phone (603) 487-3933

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1013134048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "NEW BOSTON",
            "state": "NH",
            "postal_code": "030700633",
            "telephone_number": "603-487-3933",
            "fax_number": "603-487-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MEETINGHOUSE HILL RD",
            "city": "NEW BOSTON",
            "state": "NH",
            "postal_code": "030703808",
            "telephone_number": "603-487-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BOSTON PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "EBERHARDT",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-487-3933",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NH",
            "license": "1302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Boston, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.

Verify at the official NPI Registry.