Active NPI
Peter Kapetan, PT
- Physical Therapist
- Concord, NH
National Provider Identifier
1174544100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2942
- Practice address
- 22 Bridge St
Concord, NH 03301-4987 - Phone
- (603) 622-0909
- Fax
- (603) 622-2869
- NPI assigned
- Jul 23, 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 | 2942 | NH | Primary |
Addresses
Primary practice location
22 Bridge St
Concord, NH 03301-4987
Mailing address
255 Route 108
Somersworth, NH 03878-1543
Phone (603) 622-0909
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378693 | Other | NH | MVP |
| 08Y007652NH01 | Other | NH | CIGNA |
| 1136346 | Other | NH | AETNA |
| 30393150 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
72 S River Rd
Bedford, NH 03110-6759
Phone (603) 518-5290
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allain Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Healthways Family Practice LLC | Past | Accepting new patients |
Locations
72 S River Rd
Ste 206
Bedford, NH 03110
Phone (603) 518-5290
Organizations & group practices 2
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 Therapist
- Bedford, NH
- NPI 1922449784
-
- Family Medicine Physician
- Manchester, NH
- NPI 1073554770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1174544100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 ROUTE 108",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781543",
"telephone_number": "603-622-0909",
"fax_number": "603-622-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BRIDGE ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033014987",
"telephone_number": "603-622-0909",
"fax_number": "603-622-2869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPETAN",
"first_name": "PETER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-23",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "2942",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "378693",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "08Y007652NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1136346",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30393150",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.