Active NPI
Afthalia Koustas, MSPT
- Physical Therapist
- Bedford, NH
National Provider Identifier
1063508893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2827
- Practice address
- 207 Meetinghouse Rd
Bedford, NH 03110-6090 - Phone
- (603) 644-8334
- Fax
- (603) 644-8339
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2827 | NH | |
| Physical Therapist | 225100000X | PT2827 | NH | Primary |
Addresses
Primary practice location
207 Meetinghouse Rd
Bedford, NH 03110-6090
Mailing address
207 Meetinghouse Rd
Bedford, NH 03110-6090
Phone (603) 644-8334
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08Y004684NH02 | Other | NH | BLUE CROSS BLUE SHIELD |
| 30394080 | Medicaid | NH | |
| AA51080 | Other | NH | HARVARD PILGRIM |
| 9683166 | Other | NH | CIGNA HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2827 | NH | MD | Clinical Social Worker |
| PT2827 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1063508893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 MEETINGHOUSE RD",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106090",
"telephone_number": "603-644-8334",
"fax_number": "603-644-8339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 MEETINGHOUSE RD",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106090",
"telephone_number": "603-644-8334",
"fax_number": "603-644-8339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUSTAS",
"first_name": "AFTHALIA",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "2827",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "PT2827",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08Y004684NH02",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30394080",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA51080",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "9683166",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.