Organization Active NPI

Stratham Physical Therapy

  • Physical Therapist
  • Stratham, NH
National Provider Identifier
1114950318
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1866 Issued in NH
Legal business name
STRATHAM PHYSICAL THERAPY
Practice address
64 Portsmouth Ave
Suite 5
Stratham, NH 03885-2523
Phone
(603) 772-8222
Fax
(603) 772-6738
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Joseph L Dattilo, PT
Title
Proprietor
Phone
(603) 772-8222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1866 NH Primary

Addresses

Primary practice location

64 Portsmouth Ave
Suite 5
Stratham, NH 03885-2523

Mailing address

64 Portsmouth Ave
Suite 5
Stratham, NH 03885-2523
Phone (603) 772-8222

National Provider Directory

National Provider Directory

Locations

37 Route 236
Ste 112
Kittery, ME 03904
Phone (207) 439-2675

Practitioners & affiliated clinicians

Practitioners 10

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": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1114950318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 PORTSMOUTH AVE",
            "address_2": "SUITE 5",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852523",
            "telephone_number": "603-772-8222",
            "fax_number": "603-772-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 PORTSMOUTH AVE",
            "address_2": "SUITE 5",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852523",
            "telephone_number": "603-772-8222",
            "fax_number": "603-772-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATHAM PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "DATTILO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "603-772-8222",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "1866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.