New Hampshire Physical Therapy Services of Hanover, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NEW HAMPSHIRE PHYSICAL THERAPY SERVICES OF HANOVER, LLC

Doing business as

New Hampshire Physical Therapy Services of Hanover

Practice address

67 Cummings Rd
Hanover, NH 03755-1263

Phone

(603) 676-7655

Fax

(603) 676-7657

NPI assigned

Jun 11, 2020

Last updated

Jun 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Gachassin III

Title

Executive Vice President

Phone

(337) 233-1307

Specialties & licenses 3

Addresses

Other names 1

• New Hampshire Physical Therapy Services of Hanover Doing business as

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1366067761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CUMMINGS RD",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551263",
            "telephone_number": "603-676-7655",
            "fax_number": "603-676-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAMPSHIRE PHYSICAL THERAPY SERVICES OF HANOVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Hampshire Physical Therapy Services of Hanover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Hanover, NH
• Providers in Hanover, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.