Seacoast Body Balance, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3212 Issued in NH

Legal business name

SEACOAST BODY BALANCE, LLC

Practice address

655 Portsmouth Ave
Greenland, NH 03840-2264

Phone

(646) 294-8591

NPI assigned

May 16, 2012

Organization subpart

No

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

Authorized official

Name

Melissa Hanson Gahr, PT

Title

Physical Therapist

Phone

(646) 294-8591

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sally Woodie Fodero

  • Audiologist
  • Greenland, NH
  • NPI 1306822580
  NPD
• Cheryl A Lumbruno, PT

  • Physical Therapist
  • Plymouth, NH
  • NPI 1356306484
  NPD (past)
• Catherine C Traver, PT

  • Physical Therapist
  • Exeter, NH
  • NPI 1376768861
  NPD (past)

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1245590819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ORCHARD HILL RD",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852514",
            "telephone_number": "646-294-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 PORTSMOUTH AVE",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402264",
            "telephone_number": "646-294-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST BODY BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "GAHR",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "HANSON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "646-294-8591",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30395172",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Rothermich, LIC.AC.
• Jessica Salazar
• Nicole T Schertell, N.D.
• Beth Ann Schmitt, DIPL. AC.
• Scott Family Chiropractic
• Seacoast Children'S Dentistry
• Casey Soucie
• Shantel Surles, LMT
• Megan Dawn Swenson, LMT
• Vanessa Lee Sychak

• Physical Therapist in Greenland, NH
• Providers in Greenland, NH by specialty
• Physical Therapist in New Hampshire

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

Verify at the official NPI Registry.