PT Rub Med, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

PT RUB MED, LLC

Doing business as

NuLife Med, LLC

Practice address

816 Elm St # 207
Manchester, NH 03101-2105

Phone

(603) 860-1035

Fax

(603) 899-9977

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

Mr. James Hradecky

Title

Member

Phone

(603) 860-1035

Specialties & licenses 1

Addresses

Other names 1

• NuLife Med, LLC Doing business as

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1720345507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 ELM ST # 207",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012105",
            "telephone_number": "603-860-1035",
            "fax_number": "603-899-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 ELM ST # 207",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012105",
            "telephone_number": "603-860-1035",
            "fax_number": "603-899-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT RUB MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "HRADECKY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "603-860-1035",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NuLife Med, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Norman Henry Proulx, D.D.S.
• Danielle Ann Provencal
• Jeremy M Provencher, PA-C
• Robert F. Provencher Jr., DDS
• Laura Psaledas
• Julia Marie Puglisi, BA
• Mary E. Pulaski, MD
• Rebecca Pullman, PSY.D.
• Sheena Punnapuzha, MD
• Christina Marie Purdum

• Customized Equipment (DME) in Manchester, NH
• Providers in Manchester, NH by specialty
• Customized Equipment (DME) in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.