Jonathan C Whitcomb, P.T.A
Individual provider Active NPI Physical Therapy Assistant · Brentwood, NH
NPI 1306044029 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1306044029
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 0571 (NH)
- Practice address
- 117 North Rd
Brentwood, NH 03833-6624 - Phone
- (603) 679-9319
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0571 | NH | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0571 | NH | Yes |
Addresses
Primary practice location
117 North Rd
Brentwood, NH 03833-6624
Mailing address
53 Old Mill Rd
Lee, NH 03824-6709
Phone (603) 868-2256
Other providers in Brentwood, NH
All providers in Brentwood, NH · Physical Therapy Assistant in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.