Irene Anderson, PT
Individual provider Active NPI Physical Therapist · Manchester, NH
NPI 1487155396 · NPPES record last updated Feb 26, 2018
Key facts
- NPI
- 1487155396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT5210 (NM)
- Practice address
- 3000 Goffs Falls Rd Ste 101
Manchester, NH 03103-6109 - Phone
- (800) 995-2673
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0574 | NH | MD | Addiction (Substance Use Disorder) Counselor |
| 4099 | MA | MD | Physical Therapist |
| PT5210 | NM | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0574 | NH | |
| Physical Therapist | 225100000X | 4099 | MA | |
| Physical Therapist | 225100000X | 42247 | CA | |
| Physical Therapist | 225100000X | PT5210 | NM | Yes |
Addresses
Primary practice location
3000 Goffs Falls Rd Ste 101
Manchester, NH 03103-6109
Mailing address
3000 Goffs Falls Rd Ste 101
Manchester, NH 03103-6109
Phone (800) 995-2673
Other names
- Irene Janedy
Other providers in Manchester, NH
- Amoskeag Primary Care
- Amoskeag Women'S Health, PLLC
- Amrita Reddy DMD, PC
- Audrey L. Anastasia
- Joanne Redding Anctil
- Karen Shelby Anderson
- Kristyn Marie-Napoli Anderson
- Sadie Borden Anderson
- Sunnie Anderson
- Tiffani Lynn Anderson
All providers in Manchester, 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 Feb 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.