Organization Active NPI

Achievement Therapy Services, LLC

  • Physical Therapy Clinic/Center
  • Tilton, NH
National Provider Identifier
1174071237
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Jaroslaw Hecka, MPTNPI 1881900892
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.