Active NPI
Achievement Therapy Services, LLC
- Physical Therapy Clinic/Center
- Tilton, NH
National Provider Identifier
1174071237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ACHIEVEMENT THERAPY SERVICES, LLC
- Practice address
- 139 Winter St
Tilton, NH 03276-5415 - Phone
- (603) 493-0665
- NPI assigned
- Sep 19, 2016
- 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
- Jaroslaw Hecka, MPT
- Title
- Owner
- Phone
- (603) 493-0665
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
139 Winter St
Tilton, NH 03276-5415
Mailing address
139 Winter St
Tilton, NH 03276-5415
Phone (603) 493-0665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170124000578 | NH | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8123300308 |
Receives reassigned benefits from 1 practitioner Practice locations: Tilton, NH |
National Provider Directory
National Provider DirectoryLocations
139 Winter St
Tilton, NH 03276
Phone (603) 493-0665
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474243200000",
"number": "1174071237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 WINTER ST",
"city": "TILTON",
"state": "NH",
"postal_code": "032765415",
"telephone_number": "603-493-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 WINTER ST",
"city": "TILTON",
"state": "NH",
"postal_code": "032765415",
"telephone_number": "603-493-0665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACHIEVEMENT THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-19",
"last_updated": "2016-09-19",
"status": "A",
"authorized_official_last_name": "HECKA",
"authorized_official_first_name": "JAROSLAW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "603-493-0665",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tilton, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.