Active NPI
Matthew Changelian, PT
- Physical Therapist
- Nashua, NH
National Provider Identifier
1124470315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4104
- Practice address
- 522 Amherst St
Nashua, NH 03063-1019 - Phone
- (603) 880-0448
- NPI assigned
- Jul 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4104 | NH | Primary |
Addresses
Primary practice location
522 Amherst St
Nashua, NH 03063-1019
Mailing address
522 Amherst St
Nashua, NH 03063-1019
Phone (603) 880-0448
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4104 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cpte - Nashua Inc | Physical Therapist | Past | Accepting new patients |
| Cpte - Manchester, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Manchester, NH
- NPI 1053470492
-
- Physical Therapist
- Nashua, NH
- NPI 1689733768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1124470315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 AMHERST ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030631019",
"telephone_number": "603-880-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 AMHERST ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030631019",
"telephone_number": "603-880-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANGELIAN",
"first_name": "MATTHEW",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-12",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "4104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.