Organization Active NPI

Dover Physical Therapy

  • Physical Therapy Clinic/Center
  • Dover, NH
National Provider Identifier
1558796045
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2771 Issued in NH
Legal business name
DOVER PHYSICAL THERAPY
Practice address
273 Locust St
Suite 202
Dover, NH 03820-4009
Phone
(603) 953-5147
NPI assigned
Sep 4, 2013
Last updated
Sep 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Matthew CarricoNPI 1427077130
Title
Owner
Phone
(603) 953-5147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2771 NH Primary

Addresses

Primary practice location

273 Locust St
Suite 202
Dover, NH 03820-4009

Mailing address

38 Sandy Brook Dr
Durham, NH 03824-3138
Phone (603) 953-5147

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131204001367 NH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8729214390 Receives reassigned benefits from 1 practitioner
Practice locations: Dover, NH

National Provider Directory

National Provider Directory

Locations

273 Locust St
#202
Dover, NH 03820
Phone (603) 343-5635

273 Locust St
Ste 202
Dover, NH 03820
Phone (603) 953-5147

Practitioners & affiliated clinicians

Practitioners 2

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": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1558796045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SANDY BROOK DR",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038243138",
            "telephone_number": "603-953-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 LOCUST ST",
            "address_2": "SUITE 202",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204009",
            "telephone_number": "603-953-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "CARRICO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-953-5147"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NH",
            "license": "2771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.