Individual provider Active NPI

Joshua Waterman, DPT

  • Physical Therapist
  • Lebanon, NH
National Provider Identifier
1760339469
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6208 Issued in NH
Practice address
112 Etna Rd
Lebanon, NH 03766-1559
Phone
(603) 643-7788
Fax
(603) 643-0022
NPI assigned
Mar 12, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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 6208 NH Primary

Addresses

Primary practice location

112 Etna Rd
Lebanon, NH 03766-1559

Mailing address

112 Etna Rd
Lebanon, NH 03766-1559
Phone (603) 643-7788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260319001397 NH Practitioner - Physical Therapist in Private Practice 2062996838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cioffredi and Associates Physical Therapy LLCGroup PAC ID 0648184655, 14 clinicians

Practice addresses (Care Compare)

112 Etna Rd
Lebanon, NH 03766-1454
Phone (603) 643-7788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6208NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cioffredi & Associates Physical Therapy, LLC Physical Therapist CurrentSince Mar 17, 2026 Accepting new patients

Locations

112 Etna Rd
Lebanon, NH 03766
Phone (603) 643-7788

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1760339469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ETNA RD",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661559",
            "telephone_number": "603-643-7788",
            "fax_number": "603-643-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ETNA RD",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661559",
            "telephone_number": "603-643-7788",
            "fax_number": "603-643-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "JOSHUA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "6208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.