NPIMap

Organization Active NPI

Mountain Center Physical Therapy & Sports Rehab Inc

Doing business as Mountain Center Physical Therapy

  • Physical Therapy Clinic/Center
  • Conway, NH
National Provider Identifier
1649354663
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MOUNTAIN CENTER PHYSICAL THERAPY & SPORTS REHAB INC
Doing business as
Mountain Center Physical Therapy
Practice address
37 Main St
Conway, NH 03818-1828
Phone
(603) 447-2533
NPI assigned
Oct 25, 2006
Last updated
May 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Betsy DonovanNPI 1245319946
Title
Owner
Phone
(603) 447-2533

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 1

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

Addresses

Primary practice location

37 Main St
Conway, NH 03818-1828

Mailing address

P.O. Box 1828
Conway, NH 03818-1828

Other names 1

  • Mountain Center Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

37 Main St
Ste 100
Conway, NH 03818

15 US Route 302
#2
Glen, NH 03838
Phone (603) 383-7009

Practitioners & affiliated clinicians

Practitioners 12

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1649354663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1828",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038181828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MAIN ST",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038181828",
            "telephone_number": "603-447-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CENTER PHYSICAL THERAPY & SPORTS REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-447-2533"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Center Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.