Pauline D. Archambault, PT, MPT

Key facts

NPI

1487892162

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

2668 (NH)

Practice address

16 Lehner Street
2ND Floor
Wolfeboro, NH 03894

Phone

(603) 569-7972

Fax

(603) 569-7973

NPI assigned

Feb 3, 2009

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 3, 2009.

{
    "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": []
}

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