Individual provider Active NPI

Joseph F Medeiros, PT

  • Physical Therapist
  • Londonderry, NH
National Provider Identifier
1225039266
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1508 Issued in NH
Practice address
2 Parmenter Road
Unit C7
Londonderry, NH 03053
Phone
(603) 434-6592
Fax
(603) 437-6533
NPI assigned
Aug 1, 2005
Last updated
Jan 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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 1508 NH Primary

Addresses

Primary practice location

2 Parmenter Road
Unit C7
Londonderry, NH 03053

Mailing address

2 Parmenter Road
Unit C7
Londonderry, NH 03053
Phone (603) 434-6592

Other identifiers 1

IdentifierTypeStateIssuer
30392144MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110000221 NH Practitioner - Physical Therapist in Private Practice 4587687140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Valley Physical TherapyGroup PAC ID 0840277869, 30 clinicians

Practice addresses (Care Compare)

40 S River Rd
Unit 58
Bedford, NH 03110-6751
Phone (603) 626-4205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1508NHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Physical Therapy Physical Therapist CurrentSince Jun 1, 2002 Accepting new patients

Locations

703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205

40 S River Rd
Unit 58
Bedford, NH 03110
Phone (603) 626-4205

5 Clinton St
Concord, NH 03301
Phone (603) 224-3511

12 Parmenter Rd
Londonderry, NH 03053
Phone (603) 437-2069

12 Parmenter Rd
Unit C7
Londonderry, NH 03053
Phone (603) 434-6592

123 Nashua Rd
Unit 16
Londonderry, NH 03053
Phone (603) 434-6592

835 Hanover St
Ste 102
Manchester, NH 03104
Phone (603) 625-1864

76 Northeastern Blvd
Ste 24B
Nashua, NH 03062
Phone (603) 943-5029

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1225039266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARMENTER ROAD",
            "address_2": "UNIT C7",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "03053",
            "telephone_number": "603-434-6592",
            "fax_number": "603-437-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARMENTER ROAD",
            "address_2": "UNIT C7",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "03053",
            "telephone_number": "603-434-6592",
            "fax_number": "603-437-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "1508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30392144",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.

Verify at the official NPI Registry.