Individual provider Active NPI

Gary Desmith

  • Physical Therapist
  • Durham, NH
National Provider Identifier
1215046271
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7 Mill Rd Unit B
Durham, NH 03824-3047
Phone
(603) 868-2462
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

7 Mill Rd Unit B
Durham, NH 03824-3047

Mailing address

10 Continental Blvd
Rochester, NH 03867-4531
Phone (603) 335-9217

Other identifiers 1

IdentifierTypeStateIssuer
2182OtherNHLICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150303000146 NH Practitioner - Physical Therapist in Private Practice 5496993479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allegiant Physical Therapy LLC Physical Therapist CurrentSince Dec 9, 2014 Accepting new patients

Locations

7 Mill Rd
Unit B
Durham, NH 03824
Phone (603) 397-5524

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215046271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONTINENTAL BLVD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038674531",
            "telephone_number": "603-335-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MILL RD UNIT B",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038243047",
            "telephone_number": "603-868-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMITH",
        "first_name": "GARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "2182",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.