Plainfield Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2983 Issued in NH

Legal business name

PLAINFIELD PHYSICAL THERAPY LLC

Practice address

1110 RT 12a
Plainfield, NH 03781

Phone

(603) 675-2600

Fax

(603) 675-2644

NPI assigned

Nov 15, 2007

Last updated

Nov 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Edvin

Title

Owner / PT

Phone

(603) 675-2600

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1679754964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "PLAINFIELD",
            "state": "NH",
            "postal_code": "037810130",
            "telephone_number": "603-675-2600",
            "fax_number": "603-675-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 RT 12A",
            "city": "PLAINFIELD",
            "state": "NH",
            "postal_code": "03781",
            "telephone_number": "603-675-2600",
            "fax_number": "603-675-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINFIELD PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "EDVIN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER / PT",
        "authorized_official_telephone_number": "603-675-2600"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "08Y007904NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30393503",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorraine Sutphin, LLC
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• P.T. Therapy Works
• Lisa I Palmer, RN
• Lorraine A Sutphin, APRN
• Ashlyn C Taber, RD

• Physical Therapist in Plainfield, NH
• Providers in Plainfield, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.