Individual provider Active NPI

Paul C. Suermann, LMT,CLT

  • Mechanotherapist
  • Bedford, NH
National Provider Identifier
1306967385
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
1447M Issued in NH
Practice address
112 Riverway PL
BLDG 1
Bedford, NH 03110-6730
Phone
(603) 623-0762
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 1447M NH Primary

Addresses

Primary practice location

112 Riverway PL
BLDG 1
Bedford, NH 03110-6730

Mailing address

1 Maple Ridge Dr Unit 103
Merrimack, NH 03054-7220
Phone (603) 494-9595

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1447MNHMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306967385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAPLE RIDGE DR UNIT 103",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030547220",
            "telephone_number": "603-494-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 RIVERWAY PL",
            "address_2": "BLDG 1",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106730",
            "telephone_number": "603-623-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUERMANN",
        "first_name": "PAUL",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "LMT,CLT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NH",
            "license": "1447M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.