Individual provider Active NPI

Pauline D. Archambault, PT, MPT

  • Physical Therapist
  • Wolfeboro, NH
National Provider Identifier
1487892162
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2668 Issued in NH
Practice address
16 Lehner Street
2ND Floor
Wolfeboro, NH 03894
Phone
(603) 569-7972
Fax
(603) 569-7973
NPI assigned
Feb 3, 2009
Last updated
Feb 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2668 NH Primary

Addresses

Primary practice location

16 Lehner Street
2ND Floor
Wolfeboro, NH 03894

Mailing address

70 Linwood Drive
PO Box 1592
Alton, NH 03809-1592
Phone (603) 875-0618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2668NHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1487892162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LINWOOD DRIVE",
            "address_2": "PO BOX 1592",
            "city": "ALTON",
            "state": "NH",
            "postal_code": "038091592",
            "telephone_number": "603-875-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LEHNER STREET",
            "address_2": "2ND FLOOR",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "03894",
            "telephone_number": "603-569-7972",
            "fax_number": "603-569-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHAMBAULT",
        "first_name": "PAULINE",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolfeboro, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.