NPIMap

Organization Active NPI

Belknap Occupational Health LLC

Doing business as Merrimack Valley Occupational Health and Coppola Physical Therapy

  • Physical Therapist
  • Tilton, NH
National Provider Identifier
1720316441
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2164 Issued in NH
Legal business name
BELKNAP OCCUPATIONAL HEALTH LLC
Doing business as
Merrimack Valley Occupational Health and Coppola Physical Therapy
Practice address
614 Laconia Rd
Tilton, NH 03276-5322
Phone
(603) 717-7010
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Dr. Steven Mathew Coppola, PT, DPTNPI 1467484683
Title
Owner
Phone
(603) 717-7010

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: 193200000X MULTI-SPECIALTY GROUP 225100000X 2164 NH Primary

Addresses

Primary practice location

614 Laconia Rd
Tilton, NH 03276-5322

Mailing address

614 Laconia Rd
Tilton, NH 03276-5322
Phone (603) 717-7010

Other names 1

  • Merrimack Valley Occupational Health and Coppola Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130605000529 NH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648418558 Receives reassigned benefits from 5 practitioners
Practice locations: Tilton, NH

National Provider Directory

National Provider Directory

Locations

614 Laconia Rd
Tilton, NH 03276
Phone (603) 717-7010

614 Laconia Rd
Unit 2
Tilton, NH 03276
Phone (603) 717-7010

Practitioners & affiliated clinicians

Practitioners 6

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": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1720316441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 LACONIA RD",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765322",
            "telephone_number": "603-717-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 LACONIA RD",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765322",
            "telephone_number": "603-717-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELKNAP OCCUPATIONAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-717-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merrimack Valley Occupational Health and Coppola Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tilton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.