Bedford Geriatric Physical Therapy, LLC

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

0980 Issued in NH

Legal business name

BEDFORD GERIATRIC PHYSICAL THERAPY, LLC

Practice address

108 Riverway Place
Bedford, NH 03110

Phone

(603) 623-5300

Fax

(603) 623-5335

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Annmarie Nancy Proska, PTA

Title

Director

Phone

(603) 623-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Alison Brophy Cummings

  • Physical Therapist
  • Bedford, NH
  • NPI 1578758660
  NPD (past)
• Judith A Morale, P.T.

  • Geriatric Physical Therapist
  • Holbrook, NY
  • NPI 1598701633

  Geriatrics

  NPD (past)

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1295921088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 RIVERWAY PLACE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-623-5300",
            "fax_number": "603-623-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 RIVERWAY PLACE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-623-5300",
            "fax_number": "603-623-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD GERIATRIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "PROSKA",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_middle_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "603-623-5300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NH",
            "license": "0980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30398673",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bedford Hills SNF Opco LLC
• Bedford Internal Medicine PA
• Bedford Medical Imaging Center, LLC
• Bedford Nursing & Rehab Services, LLC
• Bedford Pediatrics, P.a.

• Geriatric Physical Therapist in Bedford, NH
• Providers in Bedford, NH by specialty
• Geriatric Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.