Active NPI
Samantha Ann Hetzel
- Physical Therapist
- Somersworth, NH
National Provider Identifier
1740702885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4211
- Practice address
- 7 Marsh Brook Dr Ste 101
Somersworth, NH 03878-6523 - Phone
- (603) 749-6686
- Fax
- (603) 750-3174
- NPI assigned
- Jul 11, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4211 | NH | Primary |
Addresses
Primary practice location
7 Marsh Brook Dr Ste 101
Somersworth, NH 03878-6523
Mailing address
7 Marsh Brook Dr Ste 101
Somersworth, NH 03878-6523
Phone (603) 749-6686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4211 | NH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1740702885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 MARSH BROOK DR STE 101",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038786523",
"telephone_number": "603-749-6686",
"fax_number": "603-750-3174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 MARSH BROOK DR STE 101",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038786523",
"telephone_number": "603-749-6686",
"fax_number": "603-750-3174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETZEL",
"first_name": "SAMANTHA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "4211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somersworth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.