Baker Valley Sports & Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

3075 Issued in NH

Legal business name

BAKER VALLEY SPORTS & PHYSICAL THERAPY, LLC

Practice address

612 Tenney Mountain Hwy
Unit 3, Tenney Mountain Plaza
Plymouth, NH 03264-3155

Phone

(603) 536-7777

Fax

(603) 536-7787

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael P Hogan, PT, MPTNPI 1194776070

Title

Clinic Director

Phone

(603) 536-7777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael Patrick Hogan, PT, MPT

  • Physical Therapist
  • Plymouth, NH
  • NPI 1194776070
  NPD (past) Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285722348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 TENNEY MOUNTAIN HWY",
            "address_2": "UNIT 3, TENNEY MOUNTAIN PLAZA",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643155",
            "telephone_number": "603-536-7777",
            "fax_number": "603-536-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 TENNEY MOUNTAIN HWY",
            "address_2": "UNIT 3, TENNEY MOUNTAIN PLAZA",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643155",
            "telephone_number": "603-536-7777",
            "fax_number": "603-536-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER VALLEY SPORTS & PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "603-536-7777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NH",
            "license": "3075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Kalae Anibal, DO
• Anita Furbush, PT
• Andrew C G Armstrong, OD
• Diane L Arsenault, M.D.
• Awakening Chiropractic North, PLLC
• Jean M. Baker, R.D.
• Steven Vincent Ball, CRNA
• Mark J Banister, MD
• Margaret Kent Barton, LICSW
• Owen Baum

• Physical Therapy Clinic/Center in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Physical Therapy Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.