Robert Theriault, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9290 Issued in NH

Practice address

190 Broad St Ste 103
Nashua, NH 03063-3147

Phone

(603) 880-1511

Fax

(603) 880-8511

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2026 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Foundation Medical Partners Inc.

  • Durable Medical Equipment & Medical Supplies
  • Amherst, NH
  • NPI 1679921472
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1073551982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 BROAD ST STE 103",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633147",
            "telephone_number": "603-880-1511",
            "fax_number": "603-880-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 BROAD ST STE 103",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633147",
            "telephone_number": "603-880-1511",
            "fax_number": "603-880-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERIAULT",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "9290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Process Health Group LLC
• The Skin & Laser Surgery Center of NE
• The Surgery Center of Greater Nashua
• Therapeutic Dimensions Northeast, Inc.
• Therapeutic Interventions for Nurturing Attachment PLLC
• Lucinda Marie Theroux-Jette, PHD, OT/L, LAC
• Nicole Therrien-Boll, M.A, LCMHC
• Alexandra Jean Therrien
• Annie Theresa Thibodeau
• Thomas Benjamin

• Family Medicine Physician in Nashua, NH
• Providers in Nashua, NH by specialty
• Family Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.