Mattheson and Blackman Family Chiropractic and Physical Therapy Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

228-0686A Issued in NH

Legal business name

MATTHESON AND BLACKMAN FAMILY CHIROPRACTIC AND PHYSICAL THERAPY CENTER

Practice address

812 Central Ave
Dover, NH 03820

Phone

(603) 742-5881

Fax

(603) 742-6613

NPI assigned

Aug 31, 2010

Organization subpart

No

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

Authorized official

Name

Alexandra Perdomo

Title

Office Manager

Phone

(603) 742-5881

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Rivera

  • Chiropractor
  • Hartford, CT
  • NPI 1568927259
  NPD

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1558677336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202520",
            "telephone_number": "603-742-5881",
            "fax_number": "603-742-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-742-5881",
            "fax_number": "603-742-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHESON AND BLACKMAN FAMILY CHIROPRACTIC AND PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "PERDOMO",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "603-742-5881"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "228-0686A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia L Martin, C.N.M.
• Jessica Marx, PHARMD
• Mary Boucher Licsw
• Christine Mason, O.T.
• Andrew L. Mastrobattista, RPH
• Mattheson Chiropractic and Physical Therapy Center PLLC (Mattheson Chiropractic and Physical Therapy Center)
• Thomas C Mattheson, D.C.
• Maxi Drug North Inc (Rite Aid Pharmacy 10293)
• Maxi Drug North Inc (Rite Aid Pharmacy 10292)
• Kimberly S. May

• Chiropractor in Dover, NH
• Providers in Dover, NH by specialty
• Chiropractor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.