Coppola Physical Therapy and Fitness Gym LLC
Organization Active NPI Physical Therapy Clinic/Center · Candia, NH
NPI 1346481561 · NPPES record last updated Jun 2, 2014
Key facts
- NPI
- 1346481561
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 2164 (NH)
- Legal business name
- COPPOLA PHYSICAL THERAPY AND FITNESS GYM LLC
- Practice address
- 143 Raymond Rd Unit 8
Candia, NH 03034-2133 - Phone
- (603) 483-3355
- NPI assigned
- Mar 18, 2009
- Organization subpart
- No
Authorized official
- Name
- Steven Lawrence Gordon
- Title
- Co-Owner, Pta
- Phone
- (603) 315-9552
Practitioners 42
-
Shelby A Bettano, DPT
-
Shantelle B Cyr, PT, DPT
-
Kirsten Enwright, PT, DPT
-
Christopher Francis, DPT
-
Devin Maye Funk, DPT
-
Samantha M Futch, DPT
-
Irene Gordon, PT,DPT
-
Kyra Goucher, DPT
-
Sarah Guyer, OTR
-
Amy E Kershaw, P.T.
-
Aaron Miller, PT, DPT
-
Renee Nickerson, PT,DPT
-
Katherine Trudeau, DPT
-
Meghan Murray Sirois, PT, DPT
-
Meghan Shea Wilson, DPT
-
Sasha Winkelstein, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090810000044 | NH | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0345393302 |
Receives reassigned benefits from 28 practitioners Practice locations: Raymond, NH; Goffstown, NH; Derry, NH; Concord, NH; Candia, NH |
National Provider Directory
Locations
143 Raymond Rd
Unit 8
Candia, NH 03034
Phone (603) 483-3355
81 Hall St
Ste 202
Concord, NH 03301
Phone (603) 228-7500
6 Old Fremont Road Ext
Ste 6
Raymond, NH 03077
Phone 6037957380305
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | 2164 | NH | Yes |
| Physical Therapy Clinic/Center | 261QP2000X | 0740 | NH |
Addresses
Primary practice location
143 Raymond Rd Unit 8
Candia, NH 03034-2133
Mailing address
143 Raymond Rd Unit 8
Candia, NH 03034-2133
Phone (603) 483-3355
Other providers in Candia, NH
- Kylie Eyse Bancroft
- Taylor Barrett
- Jenna Cameron
- Candia School District
- Joseph W Cartier
- Shantelle B Cyr
- Eileen Ross, Edm, Lcmhc, LLC
- Christopher Francis
- Devin Maye Funk
- Samantha M Futch
All providers in Candia, NH · Physical Therapy Clinic/Center 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 Jun 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.