Individual provider Active NPI

Jennifer Eleanor Lidwin, DPT

  • Physical Therapist
  • Salem, NH
National Provider Identifier
1780378729
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5105 Issued in NH
Practice address
16 Pelham Rd Ste 2
Salem, NH 03079-3077
Phone
(603) 894-1111
Fax
(603) 894-1113
NPI assigned
Jun 5, 2023
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 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 5105 NH Primary

Addresses

Primary practice location

16 Pelham Rd Ste 2
Salem, NH 03079-3077

Mailing address

575 Turnpike St Ste 21
North Andover, MA 01845-5937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010002508 NH Practitioner - Physical Therapist in Private Practice 9335671700 Reassigns benefits to 1 organization

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
Balance Rehabilitation and Health Science, LLCGroup PAC ID 5496753543, 13 clinicians

Practice addresses (Care Compare)

58 Range Rd
Suite 16
Windham, NH 03087-2026
Phone (603) 860-8844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Rehabilitation and Health Science, LLC Physical Therapist CurrentSince Aug 3, 2024 Accepting new patients
Optima Sports Therapy & Rehabilitation Past Accepting new patients
Optima Sports Therapy & Rehabilitation LLC Physical Therapist PastSince Mar 1, 2008 Accepting new patients

Locations

48 Mast Rd
Goffstown, NH 03045
Phone (603) 497-8717

58 Range Rd
Ste 16
Windham, NH 03087
Phone (603) 860-8844

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1780378729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST STE 21",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PELHAM RD STE 2",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793077",
            "telephone_number": "603-894-1111",
            "fax_number": "603-894-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDWIN",
        "first_name": "JENNIFER",
        "middle_name": "ELEANOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "5105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.