NPIMap

Organization Active NPI

Orthopedic and Sport Therapy Services, LLC

  • Physical Therapist
  • Portsmouth, NH
National Provider Identifier
1174568646
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOPEDIC AND SPORT THERAPY SERVICES, LLC
Practice address
150 Griffin Rd
Ste 3
Portsmouth, NH 03801-7131
Phone
(603) 433-2101
Fax
(603) 427-6841
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Mrs. Mary E Brodeur
Title
Office Manager
Phone
(603) 433-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

150 Griffin Rd
Ste 3
Portsmouth, NH 03801-7131

Mailing address

150 Griffin Rd
Ste 3
Portsmouth, NH 03801-7131
Phone (603) 433-2101

Other identifiers 1

IdentifierTypeStateIssuer
1174568646OtherNHNPI

National Provider Directory

National Provider Directory

Locations

150 Griffin Rd
Ste 3
Portsmouth, NH 03801
Phone (603) 433-2101

Practitioners & affiliated clinicians

Practitioners 6

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1174568646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GRIFFIN RD",
            "address_2": "STE 3",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017131",
            "telephone_number": "603-433-2101",
            "fax_number": "603-427-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GRIFFIN RD",
            "address_2": "STE 3",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017131",
            "telephone_number": "603-433-2101",
            "fax_number": "603-427-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC AND SPORT THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "BRODEUR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "603-433-2101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174568646",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.