Proaging Rehab and Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROAGING REHAB AND WELLNESS LLC

Practice address

5 Nottingham LN
Salem, NH 03079-5203

Phone

(603) 401-7141

NPI assigned

May 8, 2022

Organization subpart

No

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

Authorized official

Name

Virginia Lee Brackett, MPT

Title

Owner

Phone

(603) 401-7141

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1651968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653177600000",
    "number": "1457097974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NOTTINGHAM LN",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030795203",
            "telephone_number": "603-401-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 NOTTINGHAM LN",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030795203",
            "telephone_number": "603-401-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROAGING REHAB AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-08",
        "last_updated": "2022-05-22",
        "certification_date": "2022-05-22",
        "status": "A",
        "authorized_official_last_name": "BRACKETT",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-401-7141",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Prager
• Jahnavi Prajapati
• Jaclyn Eleanor Pratt, OTR/L
• Lualhati Pratt
• Premier Pharmacy LLC
• Alexandra Maria Prochorski, MS, CF-SLP
• Zachary Prugar, PA-C
• Meagan Pukhtiar
• Nina Pullium, LPN
• Kimberly Quamme, OT

• Physical Therapist in Salem, NH
• Providers in Salem, 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 May 22, 2022; 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.