Maciej Kubkowski, PT
Individual provider Active NPI Physical Therapist · Lancaster, NH
NPI 1205940848 · NPPES record last updated Nov 7, 2023
Key facts
- NPI
- 1205940848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1922 (NH)
- Practice address
- 55 Main St
Lancaster, NH 03584-3027 - Phone
- (603) 586-4100
- Fax
- (603) 586-0084
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1922 | NH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1922 | NH | |
| Physical Therapist | 225100000X | 1922 | NH | Yes |
Addresses
Primary practice location
55 Main St
Lancaster, NH 03584-3027
Mailing address
55 Main St
Lancaster, NH 03584-3027
Phone (603) 586-4100
Other providers in Lancaster, NH
- Martha Keller Mekeel
- Joseph Robert Kiernan
- Kathleen Ann Killeen
- Kerry King
- Jolanta Kopaczewska
- Lancaster Dental Care, PC
- John Edward Lane Jr.
- Donald Lansing
- Elizabeth Eichler Lapointe
- Tammy Rose Lazott
All providers in Lancaster, NH · Physical Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.