Active NPI
Benjamin Wiggin
- Physical Therapist
- Conway, NH
National Provider Identifier
1154408060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3067
- Practice address
- 486 White Mountain Hwy Ste E
Conway, NH 03818-4215 - Phone
- (207) 223-3465
- Fax
- (207) 203-6233
- NPI assigned
- Nov 1, 2006
- 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 | 3067 | NH | Primary |
Addresses
Primary practice location
486 White Mountain Hwy Ste E
Conway, NH 03818-4215
Mailing address
PO Box 271
Center Conway, NH 03813-0271
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Center Physical Therapy & Sports Rehab Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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 Therapy Clinic/Center
- Conway, NH
- NPI 1649354663
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759622400000",
"number": "1154408060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271",
"city": "CENTER CONWAY",
"state": "NH",
"postal_code": "038130271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "486 WHITE MOUNTAIN HWY STE E",
"city": "CONWAY",
"state": "NH",
"postal_code": "038184215",
"telephone_number": "207-223-3465",
"fax_number": "207-203-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGIN",
"first_name": "BENJAMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2025-10-05",
"certification_date": "2025-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.