Carlisle Place Physical Therapy and Wellness Center, LLC
Organization Active NPI Physical Therapist · Lancaster, NH
NPI 1457543050 · NPPES record last updated Nov 7, 2023
Key facts
- NPI
- 1457543050
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- CARLISLE PLACE PHYSICAL THERAPY AND WELLNESS CENTER, LLC
- Practice address
- 55 Main St
Lancaster, NH 03584-3027 - Phone
- (603) 586-6046
- Fax
- (603) 586-0084
- NPI assigned
- Aug 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Stacey Lynn Hicks, PT
- Title
- Owner
- Phone
- (603) 586-4100
Practitioners 7
-
Stacey Hicks, PT
-
Celina Moon, PT, DPT
-
Robyn L Baker, OTR/L
-
Jeffrey A Rothen, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070927000432 | NH | Part B Supplier - Clinic/Group Practice | 3870688484 |
Receives reassigned benefits from 4 practitioners Practice locations: Lancaster, NH |
National Provider Directory
Locations
685 Presidential Hwy
Jefferson, NH 03583
Phone (603) 586-4100
55 Main St
Lancaster, NH 03584
Phone (603) 586-6046
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
55 Main St
Lancaster, NH 03584-3027
Mailing address
55 Main St
Lancaster, NH 03584-3027
Phone (603) 586-6046
Other practice location 1
685 Presidential Hwy
Jefferson, NH 03583-6122
Phone (603) 586-4100
Other providers in Lancaster, NH
- Jean S Benson
- Bio-Medical Applications of New Hampshire, Inc.
- Alyson Blanchette
- Jessica Braase
- Denyse Ann Camire
- Donald Redding Chapman
- Kacy Chiachio
- Kaleb Collins
- Maryjane Bahiyyih Corgnati
- Jessica Anne Coy
All providers in Lancaster, NH · Physical Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.