Active NPI
John Thomas McGuire Vanderminden, PT
- Physical Therapist
- Bedford, NH
National Provider Identifier
1225602659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4817
- Practice address
- 4 Hawthorne Dr
Bedford, NH 03110-6983 - Phone
- (603) 472-8888
- Fax
- (603) 472-9090
- NPI assigned
- May 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 4817 | NH | |
| Physical Therapist | 225100000X | 4817 | NH | Primary |
Addresses
Primary practice location
4 Hawthorne Dr
Bedford, NH 03110-6983
Mailing address
4 Hawthorne Dr
Bedford, NH 03110-6983
Phone (603) 472-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4817 | Other | NH | NH 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 |
|---|---|---|---|
| 4817 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1225602659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 HAWTHORNE DR",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106983",
"telephone_number": "603-472-8888",
"fax_number": "603-472-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 HAWTHORNE DR",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106983",
"telephone_number": "603-472-8888",
"fax_number": "603-472-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERMINDEN",
"first_name": "JOHN",
"middle_name": "THOMAS MCGUIRE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NH",
"license": "4817",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "4817",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH LICENSE",
"identifier": "4817",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.