Individual provider Active NPI

Rebecca Lee Kollmorge, MSPT

  • Physical Therapist
  • Stratham, NH
National Provider Identifier
1770928293
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2586 Issued in NH
Practice address
118 Portsmouth Ave
Stratham, NH 03885-2487
Phone
(603) 580-4494
Fax
(603) 580-4495
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2586 NH Primary
Physical Therapist 225100000X 11878 MA

Addresses

Primary practice location

118 Portsmouth Ave
Stratham, NH 03885-2487

Mailing address

8 Hampshire Dr
North Hampton, NH 03862-2210
Phone (603) 964-9425

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11878MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physical Therapy & Weightloss Center Physical Therapist Past Accepting new patients
Mugavero Chiropractic PC Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1770928293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HAMPSHIRE DR",
            "city": "NORTH HAMPTON",
            "state": "NH",
            "postal_code": "038622210",
            "telephone_number": "603-964-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PORTSMOUTH AVE",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852487",
            "telephone_number": "603-580-4494",
            "fax_number": "603-580-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLMORGE",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2586",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.