Action Sports & Physical Therapy, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1618 Issued in NH

Legal business name

ACTION SPORTS & PHYSICAL THERAPY, LLC

Practice address

16 Lehner St
Wolfeboro, NH 03894-4469

Phone

(603) 569-7972

Fax

(603) 569-7973

NPI assigned

Aug 6, 2007

Last updated

Jun 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lynne L Evans

Title

Business MGR./Owner

Phone

(603) 253-4040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua D Lee, PT, DPT

  • Physical Therapist
  • Wolfeboro, NH
  • NPI 1841471729
  Medicare reassignment NPD

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1134310949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 448",
            "city": "WOLFEBORO FALLS",
            "state": "NH",
            "postal_code": "038960448",
            "telephone_number": "603-569-7972",
            "fax_number": "603-569-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LEHNER ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944469",
            "telephone_number": "603-569-7972",
            "fax_number": "603-569-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION SPORTS & PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MGR./OWNER",
        "authorized_official_telephone_number": "603-253-4040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NH",
            "license": "1618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie B Adjutant, LMT
• Advancing Simplicity LLC
• Kathleen H. Ahearn, OTA
• Sharon Aiken, WAIVER
• Heather Fara-Cohen Ajzenman, OTD, OTR/L, HPCS

• Orthopedic Physical Therapist in Wolfeboro, NH
• Providers in Wolfeboro, NH by specialty
• Orthopedic Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.