Active NPI
Stephanie Anne Pavao
- Physical Therapist
- North Conway, NH
National Provider Identifier
1295099612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3591
- Practice address
- 1976 White Mountain Hwy
Ste 110B
North Conway, NH 03860-5147 - Phone
- (603) 733-5921
- Fax
- (603) 733-5924
- NPI assigned
- Jun 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3591 | NH | Primary |
Addresses
Primary practice location
1976 White Mountain Hwy
Ste 110B
North Conway, NH 03860-5147
Mailing address
73 Newton Rd
Ste 101
Plaistow, NH 03865-2424
Phone (978) 388-7272
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3591 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1295099612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 NEWTON RD",
"address_2": "STE 101",
"city": "PLAISTOW",
"state": "NH",
"postal_code": "038652424",
"telephone_number": "978-388-7272",
"fax_number": "978-388-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1976 WHITE MOUNTAIN HWY",
"address_2": "STE 110B",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038605147",
"telephone_number": "603-733-5921",
"fax_number": "603-733-5924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVAO",
"first_name": "STEPHANIE",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-29",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Conway, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.