Mark L. Collins

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1083 Issued in NH

Legal business name

MARK L. COLLINS

Doing business as

Goffstown Physical Therapy

Practice address

48 Mast Rd
Goffstown, NH 03045-2350

Phone

(603) 497-8717

Fax

(603) 497-8711

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark L Collins, PTNPI 1962586990

Title

Owner

Phone

(603) 497-8717

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Goffstown Physical Therapy Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark L. Collins, P.T.

  • Physical Therapist
  • Goffstown, NH
  • NPI 1962586990
  NPD (past) Authorized official
• Desiree Jeanne Jubinville, A.T.C., NHLAT

  • Athletic Trainer
  • Goffstown, NH
  • NPI 1134165616
  NPD (past)
• Megan McLean, DPT

  • Physical Therapist
  • Goffstown, NH
  • NPI 1346614278
  NPD (past)
• Bonnie Bastian, PT

  • Physical Therapist
  • Knoxville, TN
  • NPI 1306800594
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407061724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030450545",
            "telephone_number": "603-497-8717",
            "fax_number": "603-497-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MAST RD",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030452350",
            "telephone_number": "603-497-8717",
            "fax_number": "603-497-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK L. COLLINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-497-8717",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "1083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30390434",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goffstown Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lotus Consulting LLC (Adira Health and Wellness)
• Tammy Jill Loveles, LPTA
• Manchester Health Services, LLC (Catholic Medical Center Outpatient Physical Therapy at Goffstown)
• Philip Mansour, DMD
• Mary Grace Manter
• Megan McLean, DPT
• Michelle Ann Merchant, MS CCC-SLP
• Jeffrey P Michaud, OD
• Norman G Michaud, O.D.
• Stephen J. Michaud, MD

• Physical Therapist in Goffstown, NH
• Providers in Goffstown, 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 Aug 22, 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.