NPIMap

Organization Active NPI

Santos Physical Therapy, LLC

  • Rehabilitation Clinic/Center
  • Lisbon, NH
National Provider Identifier
1134970783
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SANTOS PHYSICAL THERAPY, LLC
Practice address
5 S Main St
Lisbon, NH 03585-6210
Phone
(401) 935-8925
NPI assigned
Apr 1, 2024
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Eric David Santos, DPTNPI 1669728275
Title
Owner
Phone
(401) 935-8925

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Orthopedic Physical Therapist 2251X0800X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

5 S Main St
Lisbon, NH 03585-6210

Mailing address

742 Jockey Hill Rd
Landaff, NH 03585-5312
Phone (401) 935-8925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240730001336 NH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315484151 Receives reassigned benefits from 1 practitioner
Practice locations: Lisbon, NH

National Provider Directory

National Provider Directory

Locations

5 S Main St
Lisbon, NH 03585
Phone (401) 935-8925

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1134970783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 JOCKEY HILL RD",
            "city": "LANDAFF",
            "state": "NH",
            "postal_code": "035855312",
            "telephone_number": "401-935-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S MAIN ST",
            "city": "LISBON",
            "state": "NH",
            "postal_code": "035856210",
            "telephone_number": "401-935-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-31",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-935-8925",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.