Organization Active NPI

Sustaining Solutions Physical Therapy PLLC

  • Physical Therapist
  • Enfield, NH
National Provider Identifier
1104381219
Registry record updated Feb 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUSTAINING SOLUTIONS PHYSICAL THERAPY PLLC
Practice address
6 Alfano Dr
Enfield, NH 03748-3828
Phone
(033) 061-6486
Fax
(603) 410-0191
NPI assigned
Feb 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2019

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

Authorized official

Name
Angela K Lacey, DPTNPI 1235415803
Title
Physical Therapist
Phone
(603) 443-2629

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6 Alfano Dr
Enfield, NH 03748-3828

Mailing address

PO Box 764
Enfield, NH 03748-0764
Phone (603) 306-1648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190227001341 NH Part B Supplier - Clinic/Group Practice 3375882830 Receives reassigned benefits from 1 practitioner
Practice locations: Grantham, NH
O20220510001248 VT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375882830 Receives reassigned benefits from 1 practitioner
Practice locations: Grantham, NH

National Provider Directory

National Provider Directory

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": "1549065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549065600000",
    "number": "1104381219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "ENFIELD",
            "state": "NH",
            "postal_code": "037480764",
            "telephone_number": "603-306-1648",
            "fax_number": "603-410-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ALFANO DR",
            "city": "ENFIELD",
            "state": "NH",
            "postal_code": "037483828",
            "telephone_number": "033-061-6486",
            "fax_number": "603-410-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSTAINING SOLUTIONS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-02",
        "last_updated": "2019-02-02",
        "status": "A",
        "authorized_official_last_name": "LACEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "603-443-2629",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2019; 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.