Active NPI
Thomas Gardner Duffett, MS,PT
- Physical Therapist
- Nashua, NH
National Provider Identifier
1164434981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2674
- Practice address
- 55 Harris Rd
Nashua, NH 03062-2145 - Phone
- (603) 888-1573
- Fax
- (603) 897-0514
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2674 | NH | Primary |
| Physical Therapist | 225100000X | 15760 | MA | |
| Physical Therapist | 225100000X | PT011311L | PA |
Addresses
Primary practice location
55 Harris Rd
Nashua, NH 03062-2145
Mailing address
67 Boulder Dr
Londonderry, NH 03053-3789
Phone (603) 437-3563
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2674 | Other | NH | PHYS THERAPY LICENSE |
| 0334065 | Medicaid | MA | |
| PT011311L | Other | PA | PHYS THERAPY LICENSE |
| 15760 | Other | MA | PHYS THERAPY LICENSE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15760 | MA | MD | Physical Therapist |
| 2674 | NH | MD | Physical Therapist |
| PT011311L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1164434981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 BOULDER DR",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533789",
"telephone_number": "603-437-3563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 HARRIS RD",
"city": "NASHUA",
"state": "NH",
"postal_code": "030622145",
"telephone_number": "603-888-1573",
"fax_number": "603-897-0514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFETT",
"first_name": "THOMAS",
"middle_name": "GARDNER",
"name_prefix": "Mr.",
"credential": "MS,PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "2674",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15760",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT011311L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYS THERAPY LICENSE",
"identifier": "2674",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0334065",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYS THERAPY LICENSE",
"identifier": "PT011311L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYS THERAPY LICENSE",
"identifier": "15760",
"state": "MA"
}
],
"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 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.