Active NPI
Speare Health Ventures, Inc.
- Physical Therapy Clinic/Center
- Bristol, NH
National Provider Identifier
1154188233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SPEARE HEALTH VENTURES, INC.
- Practice address
- 790 Lake St
Bristol, NH 03222-4548 - Phone
- (603) 744-0275
- Fax
- (603) 744-9378
- NPI assigned
- Mar 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle L. McEwen
- Title
- President/Ceo
- Phone
- (603) 536-1120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
790 Lake St
Bristol, NH 03222-4548
Mailing address
790 Lake St
Bristol, NH 03222-4548
Phone (603) 744-0275
National Provider Directory
National Provider Directory- Tax ID family
- Speare Health Ventures Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiology Clinic/Center
- Plymouth, NH
- NPI 1780233056
Locations
790 Lake St
Bristol, NH 03222
Phone (603) 238-2225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709596800000",
"number": "1154188233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 LAKE ST",
"city": "BRISTOL",
"state": "NH",
"postal_code": "032224548",
"telephone_number": "603-744-0275",
"fax_number": "603-744-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 LAKE ST",
"city": "BRISTOL",
"state": "NH",
"postal_code": "032224548",
"telephone_number": "603-744-0275",
"fax_number": "603-744-9378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEARE HEALTH VENTURES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-05",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A",
"authorized_official_last_name": "MCEWEN",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "603-536-1120"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.