Individual provider Active NPI

Myles Morneault, DPT

  • Physical Therapist
  • Franconia, NH
National Provider Identifier
1538415385
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4339 Issued in NH
Practice address
1095 Profile Rd
Franconia, NH 03580-4938
Phone
(603) 823-8650
NPI assigned
Jul 31, 2012
Last updated
Jan 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 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 4339 NH Primary

Addresses

Primary practice location

1095 Profile Rd
Franconia, NH 03580-4938

Mailing address

1095 Profile Rd
Franconia, NH 03580-4938
Phone (603) 823-8650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920003385 NH Practitioner - Physical Therapist in Private Practice 7618128265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Littleton Hospital AssociationGroup PAC ID 6901796556, 111 clinicians

Practice addresses (Care Compare)

11 Riverglen LN
Littleton, NH 03561-5748
Phone (405) 371-9756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Hospital Association Physical Therapist CurrentSince Jul 10, 2018 Accepting new patients
Littleton Hospital Association Current Accepting new patients
Littleton Hospital Association CurrentSince Jul 10, 2018 Accepting new patients
County Physical Therapy, LLC Physical Therapist PastSince Jul 30, 2018 Accepting new patients

Locations

1095 Profile Rd
Franconia, NH 03580
Phone (603) 823-8600

11 Riverglen Ln
Littleton, NH 03561
Phone (603) 259-1659

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1538415385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 PROFILE RD",
            "city": "FRANCONIA",
            "state": "NH",
            "postal_code": "035804938",
            "telephone_number": "603-823-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 PROFILE RD",
            "city": "FRANCONIA",
            "state": "NH",
            "postal_code": "035804938",
            "telephone_number": "603-823-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORNEAULT",
        "first_name": "MYLES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franconia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.