Organization Active NPI

Granite State Physical Therapy Concord PLLC

  • Physical Therapist
  • Concord, NH
National Provider Identifier
1679632012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1225 Issued in NH
Legal business name
GRANITE STATE PHYSICAL THERAPY CONCORD PLLC
Practice address
8 Loudon Rd
Concord, NH 03301-5300
Phone
(603) 410-6309
Fax
(603) 410-6310
NPI assigned
Dec 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Scott A UnderwoodNPI 1497832539
Title
Physical Therapist
Phone
(603) 410-6309

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1225 NH Primary

Addresses

Primary practice location

8 Loudon Rd
Concord, NH 03301-5300

Mailing address

8 Loudon Rd
Concord, NH 03301-5300
Phone (603) 410-6309

National Provider Directory

National Provider Directory

Locations

8 Loudon Rd
Unit 1
Concord, NH 03301
Phone (603) 410-6309

Practitioners & affiliated clinicians

Practitioners 3

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679632012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LOUDON RD",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015300",
            "telephone_number": "603-410-6309",
            "fax_number": "603-410-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LOUDON RD",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015300",
            "telephone_number": "603-410-6309",
            "fax_number": "603-410-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE STATE PHYSICAL THERAPY CONCORD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "603-410-6309"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "1225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.