Individual provider Active NPI

Kevin J. Warne

  • Physical Therapist
  • Raymond, NH
National Provider Identifier
1063753275
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3405 Issued in NH
Practice address
64 Freetown Road Suite 1
Cornerstone Physical Therapy Associates
Raymond, NH 03077
Phone
(603) 895-6860
Fax
(603) 895-6861
NPI assigned
Mar 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3405 NH Primary

Addresses

Primary practice location

64 Freetown Road Suite 1
Cornerstone Physical Therapy Associates
Raymond, NH 03077

Mailing address

64 Freetown Road Suite 1
Cornerstone Physical Therapy Associates
Raymond, NH 03077
Phone (603) 895-6860

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

LicenseStateTypeSpecialty
3405NHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1063753275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 FREETOWN ROAD SUITE 1",
            "address_2": "CORNERSTONE PHYSICAL THERAPY ASSOCIATES",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "03077",
            "telephone_number": "603-895-6860",
            "fax_number": "603-895-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 FREETOWN ROAD SUITE 1",
            "address_2": "CORNERSTONE PHYSICAL THERAPY ASSOCIATES",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "03077",
            "telephone_number": "603-895-6860",
            "fax_number": "603-895-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNE",
        "first_name": "KEVIN",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.