Individual provider Active NPI

Meghan Shea Wilson, DPT

  • Physical Therapist
  • Concord, NH
National Provider Identifier
1720724255
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4983 Issued in NH
Practice address
10 Ferry St
Concord, NH 03301-5022
Phone
(603) 715-9697
NPI assigned
May 9, 2022
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4983 NH Primary

Addresses

Primary practice location

10 Ferry St
Concord, NH 03301-5022

Mailing address

143 Raymond Rd
Candia, NH 03034-2133

Other practice location 1

143 Raymond Rd
Candia, NH 03034-2133
Phone (603) 483-3355

Other names 1

  • Meghan Shea Smith Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220603000100 NH Practitioner - Physical Therapist in Private Practice 7315325305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Valley Physical TherapyGroup PAC ID 0840277869, 30 clinicians

Practice addresses (Care Compare)

835 Hanover St
Suite 102
Manchester, NH 03104-5401
Phone (603) 625-1864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4983NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Physical Therapy Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Coppola Physical Therapy and Fitness Gym LLC Physical Therapist CurrentSince May 18, 2022 Accepting new patients
Coppola Physical Therapy Ferry Physical Therapist PastSince May 16, 2022 Accepting new patients

Locations

143 Raymond Rd
Unit 8
Candia, NH 03034
Phone (603) 483-3355

6 Tsienneto Rd
Ste 201
Derry, NH 03038
Phone 6034219959305

12 Parmenter Rd
Unit C7
Londonderry, NH 03053
Phone (603) 434-6592

835 Hanover St
Ste 102
Manchester, NH 03104
Phone (603) 625-1864

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1720724255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 RAYMOND RD",
            "city": "CANDIA",
            "state": "NH",
            "postal_code": "030342133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FERRY ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015022",
            "telephone_number": "603-715-9697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 Raymond Rd",
            "address_purpose": "LOCATION",
            "city": "Candia",
            "state": "NH",
            "postal_code": "030342133",
            "country_code": "US",
            "telephone_number": "603-483-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MEGHAN",
        "middle_name": "SHEA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "SMITH",
            "middle_name": "SHEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.