NPIMap

Organization Active NPI

Procare Physical Therapy and Hand Center

  • Physical Therapist
  • Portsmouth, NH
National Provider Identifier
1437220076
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROCARE PHYSICAL THERAPY AND HAND CENTER
Practice address
150 US Highway 1 Byp
Suite 1
Portsmouth, NH 03801-5332
Phone
(603) 431-1121
NPI assigned
Nov 13, 2006
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Mayo Noerdlinger, M.D.NPI 1932154507
Title
Managing Member
Phone
(603) 431-1121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X

Addresses

Primary practice location

150 US Highway 1 Byp
Suite 1
Portsmouth, NH 03801-5332

Mailing address

150 US Highway 1 Byp
Suite 1
Portsmouth, NH 03801-5332
Phone (603) 431-1121

Other identifiers 2

IdentifierTypeStateIssuer
9984995OtherCIGNA GROUP #
AA79032OtherHARVARD PILGRIM GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070131000544 NH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5890797096 Receives reassigned benefits from 12 practitioners
Practice locations: Portsmouth, NH
O20100930016979 NH DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 5890797096 Practice locations: Portsmouth, NH

National Provider Directory

National Provider Directory
Tax ID family
Procare Physical Therapy and Hand Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

1900 Lafayette Rd
Ste C
Portsmouth, NH 03801
Phone (603) 431-5600

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1437220076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 US HIGHWAY 1 BYP",
            "address_2": "SUITE 1",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015332",
            "telephone_number": "603-431-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 US HIGHWAY 1 BYP",
            "address_2": "SUITE 1",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015332",
            "telephone_number": "603-431-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE PHYSICAL THERAPY AND HAND CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "NOERDLINGER",
        "authorized_official_first_name": "MAYO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "603-431-1121",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA  GROUP #",
            "identifier": "9984995",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM GROUP #",
            "identifier": "AA79032",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.