Individual provider Active NPI

Jeffrey C Elrick, PT

  • Physical Therapist
  • Concord, NH
National Provider Identifier
1114043098
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2778 Issued in NH
Practice address
124 Hall St
Suite H
Concord, NH 03301-3478
Phone
(603) 224-4540
Fax
(603) 228-7384
NPI assigned
Mar 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2778 NH Primary

Addresses

Primary practice location

124 Hall St
Suite H
Concord, NH 03301-3478

Mailing address

36 Knollwood Cir
Hopkinton, NH 03229-3055
Phone (603) 224-4540

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2778NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Physical Therapy, Inc Physical Therapist PastSince Jan 15, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114043098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 KNOLLWOOD CIR",
            "city": "HOPKINTON",
            "state": "NH",
            "postal_code": "032293055",
            "telephone_number": "603-224-4540",
            "fax_number": "603-228-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HALL ST",
            "address_2": "SUITE H",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013478",
            "telephone_number": "603-224-4540",
            "fax_number": "603-228-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELRICK",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.