Individual provider Active NPI

Daniel J Thomas, PT

  • Physical Therapist
  • Stratham, NH
National Provider Identifier
1508038183
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2041 Issued in NH
Practice address
64 Portsmouth Ave
Suite 5
Stratham, NH 03885-6552
Phone
(603) 772-8222
Fax
(603) 772-6738
NPI assigned
Mar 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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 2041 NH Primary

Addresses

Primary practice location

64 Portsmouth Ave
Suite 5
Stratham, NH 03885-6552

Mailing address

576 Broadhollow Rd
Melville, NY 11747-5002
Phone (631) 359-5859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080506000518 NH Practitioner - Physical Therapist in Private Practice 7416036165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proex Physical Therapy LLCGroup PAC ID 0345212395, 166 clinicians

Practice addresses (Care Compare)

64 Portsmouth Ave
Suite 5
Stratham, NH 03885-6552
Phone (603) 772-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2041NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Dec 14, 2009 Accepting new patients
Proex Physical Therapy, LLC CurrentSince Dec 14, 2009 Accepting new patients

Locations

110 Haverhill Rd
Ste 292
Amesbury, MA 01913
Phone (978) 834-6392

3 Ferry St
Ste F
Haverhill, MA 01835
Phone (978) 469-9412

96 Calef Hwy
Unit 8
Epping, NH 03042
Phone (603) 679-3700

210 Commerce Way
Ste 120
Portsmouth, NH 03801
Phone (603) 427-8066

475 High St
Unit E
Somersworth, NH 03878
Phone (603) 617-3846

64 Portsmouth Ave
Ste 5
Stratham, NH 03885
Phone (603) 772-8222

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1508038183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002",
            "telephone_number": "631-359-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 PORTSMOUTH AVE",
            "address_2": "SUITE 5",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038856552",
            "telephone_number": "603-772-8222",
            "fax_number": "603-772-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-24",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.