NPIMap

Organization Active NPI

Northeast Passage Program of the University of New Hampshire

  • Recreation Therapist
  • Durham, NH
National Provider Identifier
1740650977
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
Legal business name
NORTHEAST PASSAGE PROGRAM OF THE UNIVERSITY OF NEW HAMPSHIRE
Practice address
4 Library Way
G-1 Hewitt Hall
Durham, NH 03824-3520
Phone
(603) 862-0070
Fax
(603) 862-0249
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Jill Gravink, CTRS/L
Title
Executive Director
Phone
(603) 862-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225800000X Primary

Addresses

Primary practice location

4 Library Way
G-1 Hewitt Hall
Durham, NH 03824-3520

Mailing address

4 Library Way
Durham, NH 03824-3520
Phone (603) 862-0070

National Provider Directory

National Provider Directory
Tax ID family
University System of New Hampshire7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4 Library Way
Durham, NH 03824
Phone (603) 862-2271

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1740650977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LIBRARY WAY",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038243520",
            "telephone_number": "603-862-0070",
            "fax_number": "603-862-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LIBRARY WAY",
            "address_2": "G-1 HEWITT HALL",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038243520",
            "telephone_number": "603-862-0070",
            "fax_number": "603-862-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PASSAGE PROGRAM OF THE UNIVERSITY OF NEW HAMPSHIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "GRAVINK",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-862-0070",
        "authorized_official_credential": "CTRS/L"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.