Lisa Gamache, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0574 Issued in NH

Practice address

44 W Webster St
Manchester, NH 03104-2912

Phone

(603) 547-5900

NPI assigned

Sep 5, 2014

Last updated

Sep 5, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1033510458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 WETHERSFIELD RD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623434",
            "telephone_number": "603-647-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 W WEBSTER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042912",
            "telephone_number": "603-547-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMACHE",
        "first_name": "LISA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NH",
            "license": "0574",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "4164",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "19393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jeanne Gallant, APRN
• Valerie Gallicchio, LICSW
• Lisa Marie Gallo, FNP-BC
• Shirley V Galucki, MD
• James Gamache, MSW, MLADC, ICAADC
• Madeleine Mary Gamache, PA-C
• Rosamunde Gammad, MA
• Jyotsom Bipin Ganatra, MD MPU
• James Ganley, BA
• Monique D. Garber, PA-C

• Physical Therapy Assistant in Manchester, NH
• Providers in Manchester, NH by specialty
• Physical Therapy Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.