Manchester Bedford Myoskeletal LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MANCHESTER BEDFORD MYOSKELETAL LLC

Practice address

111 Riverway PL
Bedford, NH 03110-6730

Phone

(603) 622-1112

Fax

(888) 965-6870

NPI assigned

Sep 16, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Joel Kouyoumjian, LMT MMTNPI 1427332568

Title

Manager

Phone

(603) 622-1112

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Joel Kouyoumjian, LMT MMT

  • Massage Therapist
  • Bedford, NH
  • NPI 1427332568
  NPD Authorized official

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1245900620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106730",
            "telephone_number": "603-622-1112",
            "fax_number": "888-965-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106730",
            "telephone_number": "603-622-1112",
            "fax_number": "888-965-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER BEDFORD MYOSKELETAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "KOUYOUMJIAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-622-1112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT MMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@mbmyoskeletal.com",
            "affiliation": "N",
            "address_1": "111 Riverway Pl",
            "city": "Bedford",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031106730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erinn Madden, OTR/L
• Jacqueline Madden, BCBA
• Frances A Magie, P.T.
• Joseph Michael Mahoney, PHD
• Lauren Major
• Manchester Health Services, LLC
• Manchester Health Services, LLC
• Joseph Mangum, PA-C
• Leo L Maniace, MD
• Christina Marescia, R.D.

• Clinic/Center in Bedford, NH
• Providers in Bedford, NH by specialty
• Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.