Active NPI
Amanda Susan Peabody, PT, DPT
- Physical Therapist
- Milford, NH
National Provider Identifier
1356771141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3697
- Practice address
- 71 Elm St
Milford, NH 03055-4810 - Phone
- (603) 673-2907
- NPI assigned
- Nov 15, 2013
- 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 | 3697 | NH | Primary |
Addresses
Primary practice location
71 Elm St
Milford, NH 03055-4810
Mailing address
71 Elm St
Milford, NH 03055-4810
Phone (603) 673-2907
Other names 1
- Amanda Susan Leblanc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3697 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1356771141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 ELM ST",
"city": "MILFORD",
"state": "NH",
"postal_code": "030554810",
"telephone_number": "603-673-2907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 ELM ST",
"city": "MILFORD",
"state": "NH",
"postal_code": "030554810",
"telephone_number": "603-673-2907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEABODY",
"first_name": "AMANDA",
"middle_name": "SUSAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-15",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "LEBLANC",
"middle_name": "SUSAN",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Milford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.