NPIMap

Organization Active NPI

Owoc Physical Therapy & Associates, LLC

  • Physical Therapist
  • Bedford, NH
National Provider Identifier
1558347559
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0789 Issued in NH
Legal business name
OWOC PHYSICAL THERAPY & ASSOCIATES, LLC
Practice address
20 Commerce Park N
Suite 103
Bedford, NH 03110-6911
Phone
(603) 472-5546
Fax
(603) 472-5095
NPI assigned
Dec 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Ms. Linda J Owoc, PTNPI 1548246531
Title
Manager Therapist
Phone
(603) 472-5546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 0789 NH Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT005694L PA
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 5763 MA
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 2232 NH

Addresses

Primary practice location

20 Commerce Park N
Suite 103
Bedford, NH 03110-6911

Mailing address

20 Commerce Park N
Suite 103
Bedford, NH 03110-6911
Phone (603) 472-5546

Other identifiers 3

IdentifierTypeStateIssuer
7862579OtherNHCIGNA--GROUP ID
3078303MedicaidNH
NO GROUPOtherNHANTHEM--INDIVIDUAL ONLY

National Provider Directory

National Provider Directory

Locations

10 Chestnut Dr
Unit H
Bedford, NH 03110
Phone (603) 472-5546

20 Commerce Park North
Ste 103
Bedford, NH 03110
Phone (603) 472-5546

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1558347559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMERCE PARK N",
            "address_2": "SUITE 103",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106911",
            "telephone_number": "603-472-5546",
            "fax_number": "603-472-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMERCE PARK N",
            "address_2": "SUITE 103",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106911",
            "telephone_number": "603-472-5546",
            "fax_number": "603-472-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWOC PHYSICAL THERAPY & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "OWOC",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER THERAPIST",
        "authorized_official_telephone_number": "603-472-5546",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "0789",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005694L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "5763",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA--GROUP ID",
            "identifier": "7862579",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078303",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM--INDIVIDUAL ONLY",
            "identifier": "NO GROUP",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.