Active NPI
Leeann Thompson, P.T.
- Physical Therapist
- Merrimack, NH
National Provider Identifier
1205901840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1433
- Practice address
- 9 Executive Park Dr
Suite 100
Merrimack, NH 03054-4045 - Phone
- (603) 424-1950
- Fax
- (603) 424-4749
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 1433 | NH | Primary |
Addresses
Primary practice location
9 Executive Park Dr
Suite 100
Merrimack, NH 03054-4045
Mailing address
9 Executive Park Dr
Suite 100
Merrimack, NH 03054-4045
Phone (603) 424-1950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1433 | Other | NH | PT 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1433 | NH | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DTS, Inc. Therapy, Rehab & Exercise | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1205901840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 EXECUTIVE PARK DR",
"address_2": "SUITE 100",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030544045",
"telephone_number": "603-424-1950",
"fax_number": "603-424-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 EXECUTIVE PARK DR",
"address_2": "SUITE 100",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030544045",
"telephone_number": "603-424-1950",
"fax_number": "603-424-4749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "LEEANN",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "1433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE #",
"identifier": "1433",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merrimack, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.